NPI Profile for VITA BRIDGE HEALTH LLC in GOODYEAR, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Health Service |
261QH0100X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency |
| NPI Number | 1952104622 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/28/2025 | |
| Last updated | 04/15/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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