Healthcare Provider Details

I. General information

NPI: 1942947437
Provider Name (Legal Business Name): DR. ASHA D ESPRIT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2187 N VICKEY ST
FLAGSTAFF AZ
86004-6121
US

IV. Provider business mailing address

2187 N VICKEY ST
FLAGSTAFF AZ
86004-6121
US

V. Phone/Fax

Practice location:
  • Phone: 928-527-1899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number80427
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: