Provider Demographics
NPI:1942816400
Name:REIN, THAPASYA SUSAN (APRN)
Entity type:Individual
Prefix:
First Name:THAPASYA
Middle Name:SUSAN
Last Name:REIN
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 1:4672 WALLINGS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3124
Mailing Address - Country:US
Mailing Address - Phone:516-587-2366
Mailing Address - Fax:
Practice Address - Street 1:7801 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-2813
Practice Address - Country:US
Practice Address - Phone:216-634-7400
Practice Address - Fax:216-634-7483
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027239363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0424433Medicaid
OHAPRN.CNP.0027239OtherOHIO ELICENSE OHIO PROFESSIONAL LICENSURE