Provider Demographics
NPI:1831288059
Name:OLMSTED, KAY LYNN (APRN)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:LYNN
Last Name:OLMSTED
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 E MCDOWELL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2609
Mailing Address - Country:US
Mailing Address - Phone:602-251-3122
Mailing Address - Fax:602-254-1226
Practice Address - Street 1:1010 E MCDOWELL RD STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2609
Practice Address - Country:US
Practice Address - Phone:602-251-3122
Practice Address - Fax:602-254-1226
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ307385363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0038Medicaid
SCR301158768Medicare PIN
SCNP0038Medicaid