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NPI Code Detail

MEDICARE: NOAH BAILEY TAFOYA MS, RD, LD

MEDICARE:   NOAH BAILEY TAFOYA  MS, RD, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianNDP-2025-0223NM

General Provider Information

NPI Number : 1851254866
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH BAILEY TAFOYA MS, RD, LD
Provider Business Mailing Address
First Line : 601 DR MARTIN LUTHER KING JR AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3619
Country : US
Telephone Number : 505-803-3800
Fax Number :
Provider Business Practice Location Address
First Line : 601 DR MARTIN LUTHER KING JR AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3619
Country : US
Telephone Number : 505-803-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ NOAH BAILEY TAFOYA MS, RD, LD” Practice Location

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