Healthcare Provider Details
I. General information
NPI: 1578017265
Provider Name (Legal Business Name): INSPIRIS SERVICES COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2016
Last Update Date: 08/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3003 N CENTRAL AVE SUITE 800
PHOENIX AZ
85012-2902
US
IV. Provider business mailing address
1009 WINDCROSS CT SUITE 101
FRANKLIN TN
37067-2678
US
V. Phone/Fax
- Phone: 602-282-8204
- Fax:
- Phone: 615-224-5443
- Fax: 844-727-9218
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOHN
O.
ENDERLE
Title or Position: SR. VP/AUTHORIZED OFFICIAL
Credential: SR. VP
Phone: 212-809-0500