Individual
MRS. MICHELLE LYNN HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
8319 SAN GAVILON ST NE, ALBUQUERQUE, NM 87113-2916
(575) 491-2250
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NDP-2023-0085
NM
Other
Enumeration date
04/25/2025
Last updated
02/11/2026
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