Provider Demographics
NPI:1720694813
Name:THRASHER, REGINA YVETTA
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:YVETTA
Last Name:THRASHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 MARINETTE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-2136
Mailing Address - Country:US
Mailing Address - Phone:937-206-9483
Mailing Address - Fax:
Practice Address - Street 1:1901 MARINETTE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-2136
Practice Address - Country:US
Practice Address - Phone:937-206-9483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide