Healthcare Provider Details

I. General information

NPI: 1487451357
Provider Name (Legal Business Name): ASPIRE HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HOSPITAL LOOP NE STE 106
ALBUQUERQUE NM
87109-2100
US

IV. Provider business mailing address

748 LIBBY AVE SW
ALBUQUERQUE NM
87121-8632
US

V. Phone/Fax

Practice location:
  • Phone: 505-372-4796
  • Fax:
Mailing address:
  • Phone: 505-206-3226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL MCCLAIN
Title or Position: FAMILY NURSE PRACTITIONER
Credential: NP
Phone: 505-372-4796