Healthcare Provider Details

I. General information

NPI: 1497673834
Provider Name (Legal Business Name): ASPIRE HEALTH PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 W TAFT AVE
SAPULPA OK
74066-5431
US

IV. Provider business mailing address

32 W TAFT AVE
SAPULPA OK
74066-5431
US

V. Phone/Fax

Practice location:
  • Phone: 918-322-1350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: QUINTON BOHANNON
Title or Position: PARTNER
Credential: PA
Phone: 405-433-6665