LAURA GLASS NP NPI 1114786845

NPI Information

  • NPI: 1114786845
  • Provider Name: LAURA GLASS, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1180 STONECREST BOULEVARD
    SUITE 101
    TEGA CAY, SC
    ZIP 29708
  • Phone: (803) 372-8585

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NPI Details

Laura Glass, NP is a psychiatric/mental health nurse practitioner in Tega Cay, SC. Laura Glass, NP NPI is 1114786845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1180 STONECREST BOULEVARD
SUITE 101
TEGA CAY, SC
ZIP 29708
Phone: (803) 372-8585

The NPI 1114786845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2024 and was last updated on 3/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health28499SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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