MEDICARE: THRIVE HEALTH & VITALITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1477404275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE HEALTH & VITALITY

Provider Business Mailing Address
First Line	:	212 S SOUTH ST
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-2218
Country	:	US
Telephone Number	:	941-882-0599
Fax Number	:	866-450-9997

Provider Business Practice Location Address
First Line	:	212 S SOUTH ST
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-2218
Country	:	US
Telephone Number	:	941-882-0599
Fax Number	:	866-450-9997

Authorized Official
Title or Position	:	CEO, DNP, APRN
Name	:	ANDREA HOWARD
Credential	:	DNP, APRN, FNP-C
Telephone Number	:	941-882-0599

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “THRIVE HEALTH & VITALITY ” Practice Location

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