Provider Demographics
NPI:1891807020
Name:THARP, PATRICIA J (CRNA)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:THARP
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:649 RIDGEPEAKS
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017
Mailing Address - Country:US
Mailing Address - Phone:901-485-7255
Mailing Address - Fax:901-737-6530
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:2024-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2023165144363LP0808X
TN070481367500000X
TN10761367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health