| Trevin Joseph Tharp, FNP-C | |
|
9249 W Lake City Rd, Houghton Lake, MI 48629-9602 | |
| (989) 422-5122 | |
| Not Available |
| Full Name | Trevin Joseph Tharp |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 9249 W Lake City Rd, Houghton Lake, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902645419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704383420 (Michigan) | Primary |
| Entity Name | Midmichigan Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912998287 PECOS PAC ID: 7911800495 Enrollment ID: O20040130001007 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevin Joseph Tharp, FNP-C 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 Ph: () - | Trevin Joseph Tharp, FNP-C 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 Ph: (989) 422-5122 |
June Ann Stefanko, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-5122 Fax: 989-422-4378 | |
Hannah Elizabeth Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-2137 | |
Allison Marie Forbes, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-5122 | |
Maryann T Fleischmann Frick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-5122 Fax: 989-422-4378 | |
Stacey Lynn Crane, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-2181 | |
Hannah Leahy, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-202-2762 | |
Erin Booms, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9249 W Lake City Rd, Houghton Lake, MI 48629 Phone: 989-422-5122 |