Provider Demographics
NPI:1821383548
Name:THARP, ALISON FRANCES (RN)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:FRANCES
Last Name:THARP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 YOLANDA AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-1636
Mailing Address - Country:US
Mailing Address - Phone:541-726-8784
Mailing Address - Fax:
Practice Address - Street 1:1498 YOLANDA AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-1636
Practice Address - Country:US
Practice Address - Phone:541-726-8784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200140939RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse