Provider Demographics
NPI:1255093795
Name:NOBLES, PAIJE (MS, RDN)
Entity type:Individual
Prefix:
First Name:PAIJE
Middle Name:
Last Name:NOBLES
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 S 48TH ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5330
Mailing Address - Country:US
Mailing Address - Phone:480-375-5178
Mailing Address - Fax:
Practice Address - Street 1:8700 E VISTA BONITA DR STE 202
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3206
Practice Address - Country:US
Practice Address - Phone:480-382-6109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ86079905133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty