LAURA ANN BEAUFFORD APRN-CNP PMHNP-BC NPI 1619563343

NPI Information

NPI: 1619563343
Provider Name: LAURA ANN BEAUFFORD, APRN-CNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1955 W TRUCKERS DR
FAYETTEVILLE, AR
ZIP 72704
Phone: (479) 973-6000
Get Directions

Laura Ann Beaufford, APRN-CNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Fayetteville, AR with 4 years of experience. Laura Ann Beaufford, APRN-CNP, PMHNP-BC NPI is 1619563343. 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:

1955 W TRUCKERS DR
FAYETTEVILLE, AR
ZIP 72704-637
Phone: (479) 973-6000
Fax: (479) 571-5390

The NPI 1619563343 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 12/16/2020 and was last updated on 8/21/2022.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1022166	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	216764	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	272993758	MEDICAID	ARKANSAS
2	1022166	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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