Provider Demographics
NPI:1891807020
Name:THARP, PATRICIA J (CRNA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:THARP
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Gender:
Credentials:CRNA
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Mailing Address - Street 1:649 RIDGE PEAKS DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-8500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17422 US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38068-6160
Practice Address - Country:US
Practice Address - Phone:731-609-8992
Practice Address - Fax:901-737-6530
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2025-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN10761367500000X, 367500000X
TN070481367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered