Organization
FERN LANE COMPANY, LLC
Active
Other names
Thrive Direct Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIANNA WILSON ARNP (OWNER)
(360) 941-5519
Entity
Organization
Contact information
Practice address
708 E MORRIS ST, SUITE B, LA CONNER, WA 98257
(360) 630-5141
(866) 302-7491
Mailing address
PO BOX 2104, LA CONNER, WA 98257-2104
(360) 630-5141
(866) 302-7491
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
02/19/2018
Last updated
01/15/2020
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