MS. STELLA ELIZABETH WILSON M.T. NPI 1891085262

NPI Information

  • NPI: 1891085262
  • Provider Name: MS. STELLA ELIZABETH WILSON, M.T.
  • Classification: Specialist/Technologist, Pathology - 246QM0706X
  • Specialization: Medical Technologist
  • Entity Type: Individual
  • Address: 500 STONE LAKE ROAD
    DULCE, NM
    ZIP 87528
  • Phone: (575) 759-7309

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NPI Details

MS. Stella Elizabeth Wilson, M.T. is a medical technologist specialist technologist pathology in Dulce, NM. MS. Stella Elizabeth Wilson, M.T. NPI is 1891085262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 STONE LAKE ROAD
DULCE, NM
ZIP 87528
Phone: (575) 759-7309
Fax: (575) 759-7294

The enumeration date for this NPI number is 4/19/2011 and was last updated on 6/13/2012.

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
1246QM0706XSpecialist/Technologist, PathologyMedical TechnologistTN 26432FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HSZ196OTHERNEW MEXICOMEDICARE PART B
2K3526MEDICAIDNEW MEXICO
3320057MEDICARE OSCAR/CERTIFICATIONNEW MEXICO

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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