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ASPIRE HEALTH LLC NPI 1447631676


NPI Information

NPI: 1447631676
Provider Name: ASPIRE HEALTH, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 03D2098347

Address:
11215 W NEVADA AVE
SUITE C
YOUNGTOWN, AZ
ZIP 85363
Phone: (623) 977-9657
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ASPIRE HEALTH, LLC is an adult health nurse practitioner in Youngtown, AZ. ASPIRE HEALTH, LLC NPI is 1447631676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11215 W NEVADA AVE
SUITE C
YOUNGTOWN, AZ
ZIP 85363-244
Phone: (623) 977-9657
Fax: (623) 583-7432

The provider's authorized official is Deborah Ann Gonzales .
The authorized official title is Office Manager/owner and has the following contact phone number (623) 847-8839.

The CLIA number assigned to this NPI record is 03D2098347 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 8/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z179068MEDICARE UPINARIZONA
2027318MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.