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

Estevan Daniel Stark

Individual provider Community Health Worker · NPI 1629910203

Estevan Daniel Stark is a Community Health Worker in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2026.

Licensed in
NM
In the registry since
2026

Practice location Address checks out

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone: (505) 573-9244
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence G-1953 (NM)

Record details

NPI number1629910203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

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