MS. STELLA ELIZABETH WILSON


Address: 500 Stone Lake Road, Dulce, NM 87528
Phone: 5757597309

MS. STELLA ELIZABETH WILSON (NPI# 1891085262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891085262
Entity Type Individual
Full Name MS. STELLA ELIZABETH WILSON
Credential M.T.
Practice Address 500 Stone Lake Road
Dulce
NM 87528
Practice Telephone 5757597309
Practice Fax Number 5757597294
Mailing Telephone 5757597309
Mailing Fax Number 5757597294
Enumeration Date 2011-04-19
Last Update Date 2012-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246QM0706X Spec/Tech, Pathology
Specialization: Medical Technologist
TN 26432 FL Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM MEDICARE PART B HSZ196 01
NM K3526 05

Other Providers STELLA WILSON

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1831621705 Stella Wilson I Developmental Therapist 345a Greenwood Street, Suit B, Worcester, MA 01607 2017-03-30
1598196636 Stella Wilson Social Worker 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 2013-11-27

Office Location

Street Address 500 STONE LAKE ROAD
City DULCE
State NM
Zip Code 87528

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164917373 Kelly Rae Pettigrew Optometrist 505 North Mundo, Dulce, NM 87528 2018-06-29
1780003442 Jacob Alexander Preventive Medicine 500 N. Mundo, Dulce, NM 87528 2014-04-09
1881020089 Jicarilla Apache Nation Clinic/Center 450 N Mundo Dr., Dulce, NM 87528 2013-09-19
1285971515 Samuel Taylor Cropp Pharmacist 500 N Mundo Dr, Dulce, NM 87528 2013-01-07
1720331697 Northwest Reional Education Coop #2 Student in an Organized Health Care Education/Training Program 91 Hawk Drive, Dulce, NM 87528 2012-10-17
1306116066 Michael Shawn Kennedy Psychologist 113 Hawk Dr, Dulce, NM 87528 2012-01-11
1669762043 Veronica A Medlin Technician, Pathology 1200 Stone Lake Rd, Dulce, NM 87528 2011-04-19
1134419518 Ray Morris Joe Technician, Pathology 500 North Mundo Road, Dulce, NM 87528 2011-04-19
1801186341 Raquel Irene Cisneros Family Medicine 500 N. Mundo Dr., Dulce, NM 87528 2011-04-18
1285823435 Karen Keating Counselor 26 Narrow Gauge Dr., Dulce, NM 87528 2007-10-23
Find all providers in zip 87528

Taxonomy Information

Taxonomy Code 246QM0706X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Pathology
Specialization Medical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508138660 Marie Tallent Deloach Spec/Tech, Pathology 500 North Mundo, Dulce, NM 87528 2012-02-06
1487805198 Anna V. Hall Spec/Tech, Pathology 12000 Stone Lake Road, Dulce, NM 87528-0187 2008-10-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629600556 Ruben Costales Nanez Spec/Tech, Pathology 661 Wendy Ln, Las Cruces, NM 88007-5324 2020-02-09
1427348051 Ronald Valer Marmash Spec/Tech, Pathology 3113 Britt St Ne, Albuquerque, NM 87111-4954 2011-04-16
1639399967 Patrick Norman Vigil II Spec/Tech, Pathology 318 Abalone Loop Rd, Mescalero, NM 88340 2007-04-27
1609935931 Suzanna Duran Spec/Tech, Pathology 318 Abalone Loop, Mescalero, NM 88340 2006-12-06
1376638411 Vicky L Sparks Freeman Spec/Tech, Pathology 1090 Goat Springs Road, Taos Picuris Indian Health Center, Taos, NM 87571 2006-10-04

Competitor

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City DULCE
Zip Code 87528

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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