Individual provider · NPI-1

Stephanie Oellien, ATC

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

NPI number1043763105
StatusActive
Last updated in NPPESAug 7, 2025

Details

NPI
1043763105
Entity type
Individual (NPI-1)
Name
Ms. Stephanie Oellien
Credential
ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 25, 2016
Certification date
Aug 5, 2025
Last updated
Aug 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic TrainerAT750NM

Practice location

Pojoaque Valley High School
1575 State Road 502 West
Santa Fe, NM 87501

Phone 505-455-2234

Mailing address

149 Rancho Viejo Blvd
Santa Fe, NM 87508-1557

Phone 505-231-1616

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