Healthcare Provider Details
I. General information
NPI: 1760256572
Provider Name (Legal Business Name): NSPIRE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2023
Last Update Date: 01/18/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4550 EASTBOURNE DR
INDIANAPOLIS IN
46226-3369
US
IV. Provider business mailing address
14350 MUNDY DRIVE STE 800 PMB #121
NOBLESVILLE IN
46060
US
V. Phone/Fax
- Phone: 317-730-0867
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIN
GARRETT
Title or Position: PRESIDENT
Credential: NP
Phone: 317-360-5800