OrganizationActive
Restore Vitality Center
NPI 1447767181 · Addiction Medicine (Internal Medicine) Physician · Phoenix, AZ
Provider details
- NPI number
- 1447767181
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Nelson, Owner/Member(602) 814-2559
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Practice location
8133 W Heatherbrae Dr
Phoenix, AZ 85033-2336
Phone: (602) 814-2559
Approximate (ZIP-level) locationGet directions
Mailing address
8133 W Heatherbrae Dr
Phoenix, AZ 85033-2336
Other names (DBA / former)
- Doing business as
- Restore Vitality Center
Registry dates
- Enumerated
- 2018-01-03
- Last updated
- 2018-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.