| Laura Ann Beaufford, APRN-CNP, PMHNP-BC | |
|
1955 W Truckers Dr, Fayetteville, AR 72704-5637 | |
| (479) 973-6000 | |
| (479) 571-5390 |
| Full Name | Laura Ann Beaufford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1955 W Truckers Dr, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619563343 | NPI | - | NPPES |
| 272993758 | Medicaid | AR | |
| 1022166 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1022166 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 216764 (Arkansas) | Primary |
| Entity Name | Camino Real Community Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154411262 PECOS PAC ID: 9931183449 Enrollment ID: O20040614001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Ann Beaufford, APRN-CNP, PMHNP-BC 1955 W Truckers Dr, Fayetteville, AR 72704-5637 Ph: (479) 973-6000 | Laura Ann Beaufford, APRN-CNP, PMHNP-BC 1955 W Truckers Dr, Fayetteville, AR 72704-5637 Ph: (479) 973-6000 |
Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696 | |
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366 | |
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000 | |
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329 | |
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930 | |
Victoria Renee Peckenpaugh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1708 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-222-1144 Fax: 833-973-4866 |