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Organization
THRIVEWELL HEALTH LLC
Active
Organization
THRIVEWELL HEALTH LLC
Active
Other names
Azura Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JOHNSON MPH,PMHNP-BC, FNP-C (OWNER & CEO)
(301) 985-2898
Entity
Organization
Contact information
Practice address
4701 SANGAMORE RD # 100N, BETHESDA, MD 20816-2558
(301) 985-2898
(301) 985-2890
Mailing address
4701 SANGAMORE RD # 100N, BETHESDA, MD 20816-2558
(301) 985-2898
(301) 985-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
01/17/2023
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