Healthcare Provider Details

I. General information

NPI: 1831288059
Provider Name (Legal Business Name): KAY LYNN OLMSTED APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 E MCDOWELL RD STE 300
PHOENIX AZ
85006-2609
US

IV. Provider business mailing address

1010 E MCDOWELL RD STE 300
PHOENIX AZ
85006-2609
US

V. Phone/Fax

Practice location:
  • Phone: 602-251-3122
  • Fax: 602-254-1226
Mailing address:
  • Phone: 602-251-3122
  • Fax: 602-254-1226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number307385
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: