Individual
NICHOLAS THARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
175T00000X
Peer Specialist
19-CRM-076
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-CRM-076
ACCBO
OR
Enumeration date
03/25/2019
Last updated
02/14/2022
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