NPI Code Details Logo

NPI 1922973098

NPI 1922973098 : THRIVE WELLNESS CARE INC : FRESNO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922973098
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THRIVE WELLNESS CARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/08/2025
-----------------------------------------------------
    Last Update Date     |    10/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    685 W ALLUVIAL AVE STE 103 
-----------------------------------------------------
    City                 |    FRESNO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93711-5779
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-499-1233
-----------------------------------------------------
    Fax                  |    559-499-1232
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    685 W ALLUVIAL AVE STE 103 
-----------------------------------------------------
    City                 |    FRESNO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93711-5779
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-499-1233
-----------------------------------------------------
    Fax                  |    559-499-1232
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    NURSE PRACTITIONER
-----------------------------------------------------
    Name                 |     NAVNEET KAUR DHALIWAL 
-----------------------------------------------------
    Credential           |    NP
-----------------------------------------------------
    Telephone            |    559-207-9697
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.