Provider Demographics
NPI:1487672333
Name:THARP, RENIE LOUISE (RD)
Entity Type:Individual
Prefix:MS
First Name:RENIE
Middle Name:LOUISE
Last Name:THARP
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 LANTANA DR
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-5172
Mailing Address - Country:US
Mailing Address - Phone:775-450-5707
Mailing Address - Fax:
Practice Address - Street 1:1779 LANTANA DR
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-5172
Practice Address - Country:US
Practice Address - Phone:775-450-5707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25772133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic