Provider Demographics
NPI:1043865561
Name:ESTEP, KYLE (FNP-C)
Entity type:Individual
Prefix:MR
First Name:KYLE
Middle Name:
Last Name:ESTEP
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8342 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2567
Mailing Address - Country:US
Mailing Address - Phone:520-461-2097
Mailing Address - Fax:
Practice Address - Street 1:2828 N CENTRAL AVE STE 829
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1021
Practice Address - Country:US
Practice Address - Phone:866-949-0108
Practice Address - Fax:901-422-7636
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ230334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily