Individual provider · Type 1 NPI

Estevan Daniel Stark

Community Health Worker · Albuquerque, NM

NPI number 1629910203 Active

Practice location

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312

Call (505) 573-9244 Map

Mailing address

10011 Betts St NE
Albuquerque, NM 87112-1527

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XG-1953 (NM)

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1629910203

Estevan Daniel Stark's National Provider Identifier is 1629910203, issued on Apr 6, 2026. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 6, 2026.