Healthcare Provider Details

I. General information

NPI: 1992675839
Provider Name (Legal Business Name): VITALIS FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 E BROWN RD STE 3
MESA AZ
85213-5250
US

IV. Provider business mailing address

2160 E BROWN RD STE 3
MESA AZ
85213-5250
US

V. Phone/Fax

Practice location:
  • Phone: 623-335-7143
  • Fax: 623-335-7146
Mailing address:
  • Phone: 623-335-7143
  • Fax: 623-335-7146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. HANNA HAVERINEN
Title or Position: NATUROPATHIC PHYSICIAN
Credential: NMD
Phone: 623-335-7143