Laura Allen, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Myrtle Beach, SC

NPI 1376849166 · NPPES record last updated Jun 26, 2013

Key facts

NPI
1376849166
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
4444 (SC)
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 692-1062
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4444SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Anesthesia, LLC Past Accepting new patients
Ambulatory Care Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Waccamaw Anesthesia Consultants, PA Past Accepting new patients
Coastal Anesthesia Medical Group, LLC Past Accepting new patients
Challenges, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4444 SC Yes

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

209 Cabo Loop
Myrtle Beach, SC 29588-7658

Other identifiers

IdentifierTypeStateIssuer
AN2120MedicaidSC

Other names

  • Laura C. Beebe Former name

Other providers in Myrtle Beach, SC

All providers in Myrtle Beach, SC · Certified Registered Nurse Anesthetist in South Carolina

Sources for this page

Verify at the official NPI Registry.