Men's Vitality Center, PLLC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

Legal business name

MEN'S VITALITY CENTER, PLLC

Practice address

4653 S Lakeshore Dr
Suite 2
Tempe, AZ 85282-7161

Phone

(480) 456-8981

NPI assigned

Jun 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nikki Miglore, DC

Title

Owner/MBR

Phone

(480) 229-1986

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1568782308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12878 N 119TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 S LAKESHORE DR",
            "address_2": "SUITE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827161",
            "telephone_number": "480-456-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S VITALITY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MIGLORE",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER/MBR",
        "authorized_official_telephone_number": "480-229-1986",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Melis, SLPA
• Jonah A Melo, BS, RBT
• Elena Lemberg Meloul, N.D., M.D.
• Jasmine Membrila
• Kevin Louis Memken, R.PH.
• Mend Testing
• David B Mendelson, DO
• Evelyn Edith Mendez, BS
• Clyde C Mendonca, MD
• Jennifer Alma Mendoza, CERTIFIED NP

• Adult Health Clinical Nurse Specialist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Adult Health Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.