Organization
ADVANCED PRACTICE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN SUZANNE THARP FNP (OWNER)
(314) 623-0238
Entity
Organization
Contact information
Practice address
2500 JESSICA CT, HIGH RIDGE, MO 63049-3227
(314) 623-0238
Mailing address
2500 JESSICA CT, HIGH RIDGE, MO 63049-3227
(314) 623-0238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
149967
MO
Other
Enumeration date
01/25/2008
Last updated
06/24/2008
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