Organization
ASPIRE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH JUREKOVIC-BYRD (OWNER)
(714) 594-8752
Entity
Organization
Contact information
Practice address
5727 N 7TH ST STE 308, PHOENIX, AZ 85014-5817
(714) 594-8752
Mailing address
5727 N 7TH ST STE 308, PHOENIX, AZ 85014-5817
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241998
LICENSE
AZ
Enumeration date
11/11/2020
Last updated
11/11/2020
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