Provider Demographics
NPI:1437414604
Name:THRASHER, SUSAN (DNP, APRN, RNC-OB)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:THRASHER
Suffix:
Gender:F
Credentials:DNP, APRN, RNC-OB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11563 S NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6524
Mailing Address - Country:US
Mailing Address - Phone:913-221-4622
Mailing Address - Fax:
Practice Address - Street 1:1300 NE WINDSOR DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-8477
Practice Address - Country:US
Practice Address - Phone:913-291-0069
Practice Address - Fax:913-291-0070
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016033668363L00000X
KS53-46160-092363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner