Individual
BRITTANY DANIELA THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9640 HUDSON BLVD N UNIT 1510, LAKE ELMO, MN 55042-4521
(763) 485-3096
Mailing address
9640 HUDSON BLVD N UNIT 1510, LAKE ELMO, MN 55042-4521
(763) 485-3096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
817850
MN
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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