Individual
ANDREW THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3120
(309) 663-5742
Mailing address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3120
(309) 663-5742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013061
IL
363LF0000X
Family Nurse Practitioner
Primary
209013061
IL
Other
Enumeration date
05/27/2015
Last updated
01/10/2024
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