Provider Demographics
NPI:1811245111
Name:THARP, SHERI LEE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:LEE
Last Name:THARP
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14751 KING RD
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:OH
Mailing Address - Zip Code:43028-8085
Mailing Address - Country:US
Mailing Address - Phone:740-507-9813
Mailing Address - Fax:740-397-7924
Practice Address - Street 1:207 W HIGH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-2427
Practice Address - Country:US
Practice Address - Phone:740-392-1181
Practice Address - Fax:740-392-1180
Is Sole Proprietor?:No
Enumeration Date:2012-08-17
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13640NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0074464Medicaid
OH0074464Medicaid
OHP01126532Medicare PIN