Organization
ASPIRE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN GONZALES (OFFICE MANAGER/OWNER)
(623) 847-8839
Entity
Organization
Contact information
Practice address
11215 W NEVADA AVE, SUITE C, YOUNGTOWN, AZ 85363-1244
(623) 977-9657
(623) 583-7432
Mailing address
2445 W SILVER SAGE LN, PHOENIX, AZ 85085-5740
(623) 847-8839
(623) 847-8838
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027318
—
AZ
Enumeration date
06/12/2015
Last updated
08/20/2015
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