Provider Demographics
NPI:1891052874
Name:THARPE, DEANNA LYNNE
Entity Type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:LYNNE
Last Name:THARPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N86W14758 MENOMONEE RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-3207
Mailing Address - Country:US
Mailing Address - Phone:414-213-7255
Mailing Address - Fax:
Practice Address - Street 1:N86W14758 MENOMONEE RIVER PKWY
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-3207
Practice Address - Country:US
Practice Address - Phone:414-213-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula