Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athena Nicole Konicki

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508509050

Athena Nicole Konicki is a Student in an Organized Health Care Education/Training Program in Vancouver, Washington. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

100 E 33rd St Ste 100
Vancouver, WA 98663-2776
Phone: (360) 514-7550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508509050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

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