Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Audrey Lucille Bakken, CNP

Individual provider Nurse Practitioner · NPI 1205352911

Mrs. Audrey Lucille Bakken, CNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Mayo Clinic, a 4,796-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2017
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3115 N 3rd Ave Ste 140
Phoenix, AZ 85013-4334
Phone: (602) 294-4540
Fax: (602) 294-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 340877 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 340877 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 340877 (AZ)

Record details

NPI number1205352911
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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