Provider Demographics
NPI:1720970080
Name:THRASHER, ELIZA ROCHELLE
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:ROCHELLE
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 1:9541 WINDSOR FOREST CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-4411
Mailing Address - Country:US
Mailing Address - Phone:775-910-3782
Mailing Address - Fax:
Practice Address - Street 1:1300 NEVADA STATE DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-9776
Practice Address - Country:US
Practice Address - Phone:702-992-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program