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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FALLON BADER, MS, RDN, LD

Active

FALLON BADER, MS, RDN, LD is a Registered Dietitian healthcare provider located in JEMEZ PUEBLO, New Mexico. NPI 1407616949 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · JEMEZ PUEBLO, NM

Registration Details

NPI Number
1407616949
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2024 (2.3690378146613 yrs)
Last Updated
Mar 21, 2024
License
NDP-2024-0036 (NM)

Practice Information

Address
139 BEAR HEAD CANYON RD UNIT B
JEMEZ PUEBLO, NM, 870240776
Browse NM providers · Browse ZIP 87024
Phone
9086702348
Primary Specialty
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.