Individual
LAURA D. CAMFERDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4810 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 474-8988
(850) 476-5312
Mailing address
4828 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 478-2412
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-037104
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP867432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009984625
—
AL
05
—
305050500
—
FL
01
—
59115889
BLUE CROSS BLUE SHIELD
AL
01
—
G0141
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/30/2005
Last updated
04/13/2018
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