Individual
MS. KIMBERLY NICOLE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
5690 LINCOLN BLVD, DEARBORN HEIGHTS, MI 48125-2402
(248) 910-1694
Mailing address
5690 LINCOLN BLVD, DEARBORN HEIGHTS, MI 48125-2402
(248) 910-1694
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704253537
MI
Other
Enumeration date
08/24/2017
Last updated
01/04/2019
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