Organization
THRIVE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN CANNON GODEAUX FNP (OWNER- FAMILY NURSE PRACTITIONER)
(337) 210-5827
Entity
Organization
Contact information
Practice address
1921 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-6183
(337) 210-5827
(844) 482-4077
Mailing address
120 BRIGHTWOOD DR, LAFAYETTE, LA 70508-7350
(337) 356-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/28/2023
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