Healthcare Provider Details

I. General information

NPI: 1053567115
Provider Name (Legal Business Name): AUDREY STEINKAMP WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11209 N. TATUM BLVD SUITE 255
PHOENIX AZ
85028
US

IV. Provider business mailing address

11209 N. TATUM BLVD SUITE 255
PHOENIX AZ
85028
US

V. Phone/Fax

Practice location:
  • Phone: 602-494-5050
  • Fax: 866-777-2251
Mailing address:
  • Phone: 602-494-5050
  • Fax: 866-777-2251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP3108
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP3108
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: