MEDICARE: ATHENA LIFE CARE PLANNING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1063033967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATHENA LIFE CARE PLANNING PLLC

Provider Business Mailing Address
First Line	:	10310 E RISING SUN DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85262-3073
Country	:	US
Telephone Number	:	602-492-8102
Fax Number	:	803-274-5873

Provider Business Practice Location Address
First Line	:	10310 E RISING SUN DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85262-3073
Country	:	US
Telephone Number	:	602-492-8102
Fax Number	:	803-274-5873

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

Provider Enumeration Date	:	05/01/2020
Last Update Date	:	11/27/2023

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