Provider Demographics
NPI:1013012301
Name:THARP, KAREN SUZANNE (RN BC FNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUZANNE
Last Name:THARP
Suffix:
Gender:F
Credentials:RN BC FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 JESSICA CT
Mailing Address - Street 2:
Mailing Address - City:HIGH RIDGE
Mailing Address - State:MO
Mailing Address - Zip Code:63049-3227
Mailing Address - Country:US
Mailing Address - Phone:314-623-0238
Mailing Address - Fax:
Practice Address - Street 1:2500 JESSICA CT
Practice Address - Street 2:
Practice Address - City:HIGH RIDGE
Practice Address - State:MO
Practice Address - Zip Code:63049-3227
Practice Address - Country:US
Practice Address - Phone:314-623-0238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO149967363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
817584317Medicare PIN