MEDICARE: THAPASYA SUSAN REIN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	APRN.CNP.0027239	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	APRN.CNP.0027239	OTHER	OH	OHIO ELICENSE OHIO PROFESSIONAL LICENSURE

General Provider Information

NPI Number	:	1942816400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAPASYA SUSAN REIN APRN

Provider Business Mailing Address
First Line	:	4672 WALLINGS RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3124
Country	:	US
Telephone Number	:	516-587-2366
Fax Number	:

Provider Business Practice Location Address
First Line	:	7801 DETROIT AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-2813
Country	:	US
Telephone Number	:	216-634-7400
Fax Number	:	216-634-7483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2020
Last Update Date	:	02/05/2025

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