Provider Demographics
NPI:1518485291
Name:ADVANCED PRACTICE PROFESSIONALS, LLC
Entity Type:Organization
Organization Name:ADVANCED PRACTICE PROFESSIONALS, LLC
Other - Org Name:THRIVE CONCIERGE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:316-776-4163
Mailing Address - Street 1:10822 SW 86TH TER
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:KS
Mailing Address - Zip Code:67010-8019
Mailing Address - Country:US
Mailing Address - Phone:785-556-0890
Mailing Address - Fax:888-365-6743
Practice Address - Street 1:550 S OLIVER ST STE A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-2351
Practice Address - Country:US
Practice Address - Phone:316-776-4163
Practice Address - Fax:888-365-6743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS76382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty