Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Tharon B. Holmberg, CRNP

Individual provider Nurse Practitioner · NPI 1871741785

Mr. Tharon B. Holmberg, CRNP is a Nurse Practitioner in Buffalo, New York. Qualified in 2015, 11 years ago. Practices with Daniel Funsch Jr, MD, PC, a 128-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
11
Licensed in
NY, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

701 Seneca St Ste 646C
Buffalo, NY 14210-1372
Phone: (716) 995-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Penn Plz, New York, NY 10119-0002 — (570) 452-2138

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 307563 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence SP009917 (PA)

Record details

NPI number1871741785
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedSeptember 4, 2008
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Daniel Funsch Jr, M.D., P.C. — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations20 on file with Medicare

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