MEDICARE: NSPIRE HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1760256572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NSPIRE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	14350 MUNDY DRIVE STE 800
Second Line	:	PMB #121
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 EASTBOURNE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-3369
Country	:	US
Telephone Number	:	317-730-0867
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIN GARRETT
Credential	:	NP
Telephone Number	:	317-360-5800

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	01/18/2024

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