Healthcare Provider Details
I. General information
NPI: 1871503243
Provider Name (Legal Business Name): INSPIRIS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12154 E SAN VICTOR DR
SCOTTSDALE AZ
85259-6050
US
IV. Provider business mailing address
12154 E SAN VICTOR DR
SCOTTSDALE AZ
85259-6050
US
V. Phone/Fax
- Phone: 480-694-2588
- Fax: 480-451-0584
- Phone: 480-694-2588
- Fax: 480-451-0584
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | AP1544 |
| License Number State | AZ |
VIII. Authorized Official
Name:
MARY
JO
COLORAFI
Title or Position: FNP
Credential: NP
Phone: 480-614-3277