Healthcare Provider Details

I. General information

NPI: 1063033967
Provider Name (Legal Business Name): ATHENA LIFE CARE PLANNING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 11/27/2023
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10310 E RISING SUN DR
SCOTTSDALE AZ
85262-3073
US

IV. Provider business mailing address

10310 E RISING SUN DR
SCOTTSDALE AZ
85262-3073
US

V. Phone/Fax

Practice location:
  • Phone: 602-492-8102
  • Fax: 803-274-5873
Mailing address:
  • Phone: 602-492-8102
  • Fax: 803-274-5873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KIRSTEN TURKINGTON
Title or Position: MANAGING MEMBER
Credential: DNP, APRN FNP-C
Phone: 602-892-4102