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NPI Code Detail

MEDICARE: AMANDA BROOKE THARP NP

MEDICARE: AMANDA BROOKE THARP NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0030380OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063149342
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BROOKE THARP NP
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number :
Fax Number : 614-544-6370
Provider Business Practice Location Address
First Line : 5150 E DUBLIN GRANVILLE RD STE 340
Second Line :
City : COLUMBUS
State : OH
Zip : 43081-7128
Country : US
Telephone Number : 614-566-4350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2022
Last Update Date : 04/08/2025

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