Provider Demographics
NPI:1659511103
Name:CASH, THURESA S (APRN)
Entity type:Individual
Prefix:MRS
First Name:THURESA
Middle Name:S
Last Name:CASH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:WHITLEY CITY
Mailing Address - State:KY
Mailing Address - Zip Code:42653-0099
Mailing Address - Country:US
Mailing Address - Phone:606-376-5391
Mailing Address - Fax:606-376-3326
Practice Address - Street 1:19 MEDICAL LOOP
Practice Address - Street 2:SUITE #3
Practice Address - City:WHITLEY CITY
Practice Address - State:KY
Practice Address - Zip Code:42653-4216
Practice Address - Country:US
Practice Address - Phone:606-376-5391
Practice Address - Fax:606-376-3326
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY610922993Medicare PIN