SOAR WELLNESS NPI 1295407773

NPI Information

  • NPI: 1295407773
  • Provider Name: SOAR WELLNESS
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 32D2205024
  • Address: 6855 4TH ST NW STE B2
    LOS RANCHOS, NM
    ZIP 87107
  • Phone: (505) 398-9430

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NPI Details

SOAR WELLNESS is a general practice in Los Ranchos, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOAR WELLNESS NPI is 1295407773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6855 4TH ST NW STE B2
LOS RANCHOS, NM
ZIP 87107-100
Phone: (505) 398-9430
Fax: (505) 832-8516

The provider's authorized official is Stephanie Rae Abeyta .
The authorized official title is Owner/provider and has the following contact phone number (505) 398-9430.

The CLIA number assigned to this NPI record is 32D2205024 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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