Provider Demographics
NPI:1063033967
Name:ATHENA LIFE CARE PLANNING PLLC
Entity Type:Organization
Organization Name:ATHENA LIFE CARE PLANNING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN FNP-C
Authorized Official - Phone:602-892-4102
Mailing Address - Street 1:10310 E RISING SUN DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-3073
Mailing Address - Country:US
Mailing Address - Phone:602-492-8102
Mailing Address - Fax:803-274-5873
Practice Address - Street 1:10310 E RISING SUN DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-3073
Practice Address - Country:US
Practice Address - Phone:602-492-8102
Practice Address - Fax:803-274-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care