Organization · Type 2 NPI

Vita Bridge Health LLC

Psychiatric/Mental Health Nurse Practitioner · Goodyear, AZ

NPI number 1952104622 Active

Practice location

15150 W Park Pl Fl 2
Goodyear, AZ 85395-2385

Fax (480) 546-3290

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1952104622

Vita Bridge Health LLC's National Provider Identifier is 1952104622, issued on Mar 28, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Goodyear, AZ. The record was last updated on Apr 15, 2025.