Healthcare Provider Details

I. General information

NPI: 1265771372
Provider Name (Legal Business Name): KATHRYN J STEENSTRA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 02/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 N 92ND ST SUITE 200
SCOTTSDALE AZ
85258-4549
US

IV. Provider business mailing address

4319 W MARIPOSA GRANDE
GLENDALE AZ
85310-3947
US

V. Phone/Fax

Practice location:
  • Phone: 480-323-1573
  • Fax:
Mailing address:
  • Phone: 480-231-0744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP4822
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: