# THRIVE ADULT AND SENIOR PRIMARY CARE

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

## Provider details

- **NPI number:** 1912814591
- **Authorized official:** BUKOLA F SHOLABI AGNP-PC (OWNER/MANAGING MEMBER)
- **Authorized official phone:** (317) 772-9145

## Contact information

- **Practice address:** 8517 KINGSTON ST, AVON, IN 46123-6018
- **Practice address phone:** (317) 772-9145
- **Mailing address:** 8517 KINGSTON ST, AVON, IN 46123-6018
- **Mailing address phone:** (317) 772-9145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2026
- **Last updated:** 08/27/2026
