Provider Demographics
NPI:1538952833
Name:THRIVE N HEAL
Entity type:Organization
Organization Name:THRIVE N HEAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANDEEP
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:DHEER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:661-487-3428
Mailing Address - Street 1:5265 FANDANGO LOOP
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4377
Mailing Address - Country:US
Mailing Address - Phone:661-487-3428
Mailing Address - Fax:
Practice Address - Street 1:5265 FANDANGO LOOP
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4377
Practice Address - Country:US
Practice Address - Phone:661-487-3428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty