NPI | 1811677875 |
---|---|
Doing Business As | BELLA VITA INTEGRATED HEALING |
Entity Type | Organization |
Authorized Contact | ELIZABETH ANN SHRADER Pmhnp Bc, Whnp Bc 602-671-3091 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-02-13 |