Individual
BRIANNA MARIE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-8111
Mailing address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28237291A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71014367A
IN
Other
Enumeration date
07/24/2023
Last updated
09/22/2023
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