Individual
LIBBY PAIGE THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
439 S ROSS ST # M-18, BEAVERTON, MI 48612-9101
(989) 246-3500
Mailing address
439 S ROSS ST # M-18, BEAVERTON, MI 48612-9101
(989) 246-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704383423
MI
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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