Healthcare Provider Details

I. General information

NPI: 1912607839
Provider Name (Legal Business Name): STEVEN BAIK FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 N 7TH ST STE 375
PHOENIX AZ
85006-2707
US

IV. Provider business mailing address

1331 N 7TH ST STE 375
PHOENIX AZ
85006-2707
US

V. Phone/Fax

Practice location:
  • Phone: 602-307-0070
  • Fax:
Mailing address:
  • Phone: 602-307-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN191671
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number302928
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: