Organization
THRIVE HEALTHCARE FNP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LAKE KING NP (NP-C)
(270) 832-5930
Entity
Organization
Contact information
Practice address
1757 E CHESTNUT BLVD, LAKE HAVASU CITY, AZ 86404-8407
(270) 832-5930
Mailing address
1757 E CHESTNUT BLVD, LAKE HAVASU CITY, AZ 86404-8407
(270) 832-5930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080555
—
AZ
Enumeration date
03/08/2022
Last updated
03/08/2022
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