Provider Demographics
NPI:1215745682
Name:THRASHER, REGAN STEVENS (APRN, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:REGAN
Middle Name:STEVENS
Last Name:THRASHER
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5113 WATERS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006-2501
Mailing Address - Country:US
Mailing Address - Phone:337-244-1640
Mailing Address - Fax:
Practice Address - Street 1:5521 AIRLINE DR STE B
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-6801
Practice Address - Country:US
Practice Address - Phone:318-507-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN158610163W00000X
LA241817363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse