National Provider Identifier
Tharon B. Holmberg, CRNP
Tharon B. Holmberg, CRNP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 995-4450.
Profile Overview
- NPI
- 1871741785
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- September 04, 2008
- Last Updated
- September 16, 2022
Practice Location
- 701 Seneca St Ste 646C
- Buffalo, NY 14210-1372
Phone: (716) 995-4450
Mailing Address
- 1 Penn Plz
- 8Th Floor
- New York, NY 10119-0002
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1871741785
- Entity Type
- Individual
- Last Name
- Holmberg
- First Name
- Tharon
- Middle Name
- B.
- Name Prefix
- Mr.
- Credential
- CRNP
- Mailing Street Address
- 1 Penn Plz
- Mailing Address Line 2
- 8Th Floor
- Mailing City
- New York
- Mailing State
- NY
- Mailing ZIP Code
- 10119-0002
- Mailing Country
- US
- Mailing Phone
- (570) 452-2138
- Practice Street Address
- 701 Seneca St Ste 646C
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1372
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Enumeration Date
- September 04, 2008
- Last Updated
- September 16, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Nurse Practitioner (363L00000X)