Provider Demographics
NPI:1396387742
Name:ASPIRE HEALTH MEDICAL WEIGHT MANAGEMENT
Entity Type:Organization
Organization Name:ASPIRE HEALTH MEDICAL WEIGHT MANAGEMENT
Other - Org Name:ASPIRE HEALTH, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEWARD
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-438-8966
Mailing Address - Street 1:8121 W QUINAULT AVE STE F101
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8210
Mailing Address - Country:US
Mailing Address - Phone:509-438-8966
Mailing Address - Fax:949-404-8805
Practice Address - Street 1:8121 W QUINAULT AVE STE F101
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8210
Practice Address - Country:US
Practice Address - Phone:509-438-8966
Practice Address - Fax:949-404-8805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty