Individual
MS. AUTUMN STINAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT INTERN
Contact information
Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 443-2800
Mailing address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 443-2800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
09/10/2025
Last updated
09/30/2025
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