Provider Demographics
NPI:1972926640
Name:THARP, CHRISTINE (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
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 1:12608 STATE RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3281
Mailing Address - Country:US
Mailing Address - Phone:440-877-1977
Mailing Address - Fax:440-877-1988
Practice Address - Street 1:12608 STATE RD STE 1A
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3281
Practice Address - Country:US
Practice Address - Phone:440-877-1977
Practice Address - Fax:440-877-1988
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.131897163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2180910Medicaid