Healthcare Provider Details

I. General information

NPI: 1396679304
Provider Name (Legal Business Name): THE PINK TREE HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11445 E VIA LINDA STE 2-445
SCOTTSDALE AZ
85259-2655
US

IV. Provider business mailing address

11445 E VIA LINDA STE 2-445
SCOTTSDALE AZ
85259-2655
US

V. Phone/Fax

Practice location:
  • Phone: 602-880-8508
  • Fax:
Mailing address:
  • Phone: 602-880-8508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMIL BAYLESS
Title or Position: OWNER
Credential: NP
Phone: 602-880-8508