Cantrell, Laurie Anne

Cantrell, Laurie Anne is an individual health care provider with primary practice located at 111 Doctor Cir , Columbia SC 29203-6502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cantrell, Laurie Anne can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
111 Doctor Cir Columbia SC 29203-6502
Phone: (800) 491-0909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3337 South Carolina

Profile Details

NPI number 1831384932
LBN Legal business name Cantrell, Laurie Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Nov 1st, 2022 - about 4 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 1831384932 NPPES
South Carolina Other P00801269 RR MEDICARE
South Carolina MEDICAID NP1149 RR MEDICARE
South Carolina Other P00454110 RR MEDICARE

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