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Organization
THRIVE ADULT AND SENIOR PRIMARY CARE
Active
Organization
THRIVE ADULT AND SENIOR PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUKOLA F SHOLABI AGNP-PC (OWNER/MANAGING MEMBER)
(317) 772-9145
Entity
Organization
Contact information
Practice address
8517 KINGSTON ST, AVON, IN 46123-6018
(317) 772-9145
Mailing address
8517 KINGSTON ST, AVON, IN 46123-6018
(317) 772-9145
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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