Beaufford, Laura Ann

Beaufford, Laura Ann is an sole proprietor health care provider with primary practice located at 1955 W Truckers Dr , Fayetteville AR 72704-5637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Beaufford, Laura Ann can be contacted via phone (479) 973-6000.

Contact Information

Primary practice address
1955 W Truckers Dr Fayetteville AR 72704-5637
Phone: (479) 973-6000
Fax: (479) 571-5390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1022166 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 216764 Arkansas

Profile Details

NPI number 1619563343
LBN Legal business name Beaufford, Laura Ann
Credentials APRN-CNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2020
Last updated Aug 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619563343 NPPES
Arkansas MEDICAID 272993758
Arkansas MEDICAID 1022166

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