| Laura Elizabeth Petersmith, CRNA | |
|
2669 Scenic Dr, Alamogordo, NM 88310-8734 | |
| (727) 565-6995 | |
| Not Available |
| Full Name | Laura Elizabeth Petersmith |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2669 Scenic Dr, Alamogordo, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659769149 | NPI | - | NPPES |
| 108294100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01512 (New Mexico) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9319865 (Florida) | Primary |
| Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Elizabeth Petersmith, CRNA 3719 Rosewood Ave, Alamogordo, NM 88310-8255 Ph: (727) 565-6995 | Laura Elizabeth Petersmith, CRNA 2669 Scenic Dr, Alamogordo, NM 88310-8734 Ph: (727) 565-6995 |
Mr. Philip Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Indian Wells Rd, Alamogordo, NM 88310 Phone: 505-437-0890 | |
Charles M. Flinko, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Indian Wells Rd, Alamogordo, NM 88310 Phone: 573-686-5550 |