Provider Demographics
NPI:1871503243
Name:INSPIRIS
Entity Type:Organization
Organization Name:INSPIRIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:COLORAFI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-614-3277
Mailing Address - Street 1:12154 E SAN VICTOR DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-6050
Mailing Address - Country:US
Mailing Address - Phone:480-694-2588
Mailing Address - Fax:480-451-0584
Practice Address - Street 1:12154 E SAN VICTOR DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-6050
Practice Address - Country:US
Practice Address - Phone:480-694-2588
Practice Address - Fax:480-451-0584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1544261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZMCO830693Medicare UPIN