Healthcare Provider Details

I. General information

NPI: 1619511219
Provider Name (Legal Business Name): INSPIRE NP PSYCHIATRIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 W 75TH ST APT 1A
NEW YORK NY
10023-2007
US

IV. Provider business mailing address

57 W 75TH ST APT 1A
NEW YORK NY
10023-2007
US

V. Phone/Fax

Practice location:
  • Phone: 212-764-4647
  • Fax:
Mailing address:
  • Phone: 212-724-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANABELL MORALES
Title or Position: BOOK KEPPER
Credential:
Phone: 212-877-5500