# VITAL PATH INTEGRATED CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215802566
- **Authorized official:** LAURA MASTERS (CEO)
- **Authorized official phone:** (308) 539-1068

## Contact information

- **Practice address:** 3481 E BRUCE AVE, GILBERT, AZ 85234-4222
- **Practice address phone:** (308) 539-1068
- **Mailing address:** 3481 E BRUCE AVE, GILBERT, AZ 85234-4222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2025
- **Last updated:** 10/07/2025