Individual provider · NPI-1

Stephen V Athens

Student in an Organized Health Care Education/Training Program · Santa Fe, NM

NPI number1033014196
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1033014196
Entity type
Individual (NPI-1)
Name
Stephen V Athens
Sex
Male
Sole proprietor
No
Enumeration date
Oct 9, 2026
Certification date
Oct 9, 2026
Last updated
Oct 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–NMYes

Practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Phone 505-471-4985

Mailing address

2504 Camino Entrada
Santa Fe, NM 87507-4851

Phone 505-471-4985

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