Laurie A Harris, CRNA | |
1235 E Cherokee St, Springfield, MO 65804-2203 | |
(417) 820-2829 | |
(417) 820-8852 |
Full Name | Laurie A Harris |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1235 E Cherokee St, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275671620 | NPI | - | NPPES |
917229106 | Medicaid | MO | |
159250001 | Medicaid | AR | |
175118 | Other | MO | MO BLUE SHIELD |
83413 | Other | AR | ARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9427379 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 123514 (Missouri) | Primary |
Entity Name | Four States Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053382929 PECOS PAC ID: 8729973284 Enrollment ID: O20040216000537 |
Entity Name | Ambulatory Anesthesia Services Of St. Charles, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467634097 PECOS PAC ID: 3173604782 Enrollment ID: O20080121000079 |
Mailing Address | Practice Location Address |
---|---|
Laurie A Harris, CRNA Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Laurie A Harris, CRNA 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2829 |
Olivia M. Kilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Mr. David E Meinhardt, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285 | |
Jacquelyn B Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 | |
Dione E Blansit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 | |
Jesse D Collins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Bradley A Korman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
John D Ford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 |