Organization · Type 2 NPI
Vitality Med Spa
Primary Care Nurse Practitioner · Mesa, AZ
NPI number
1932061280
Active
Practice location
1955 N Val Vista Dr Ste 101
Mesa, AZ 85213-3218
Fax (480) 854-8020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1932061280
Vitality Med Spa's National Provider Identifier is 1932061280, issued on Nov 25, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Mesa, AZ. The record was last updated on Nov 25, 2025.