Provider Demographics
NPI:1083924468
Name:THRASHER, CARRIE ANNE (MSN, RN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANNE
Last Name:THRASHER
Suffix:
Gender:F
Credentials:MSN, RN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3915 WATSON RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1251
Mailing Address - Country:US
Mailing Address - Phone:314-781-7415
Mailing Address - Fax:636-939-9208
Practice Address - Street 1:3915 WATSON RD STE 202
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-1251
Practice Address - Country:US
Practice Address - Phone:314-781-7415
Practice Address - Fax:314-644-4592
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2012-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2006016033363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics