| Organization Name: | ASPIRE HEALTH, LLC |
| NPI Number: | 1447631676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH ANN GONZALES (OFFICE MANAGER/OWNER) |
| Mailing Address: | 11215 W Nevada Ave Suite C Youngtown |
| State: | AZ US |
| Postal Code: | 853631244 |
| Phone Number: | 6239779657 |
| Fax Number: | 6235837432 |
| NPI Enumeration Date: | 06/12/2015 |
| NPI Last Update Date: | 08/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |