Individual
LAURA K BEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
3101 BRECKENRIDGE LN, SUITE 1A, LOUISVILLE, KY 40220-2742
(502) 458-7400
(502) 458-7449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28171598A
IN
367500000X
Certified Registered Nurse Anesthetist
1103388
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3004298
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325671
ANTHEM BLUE SHIELD
KY
05
—
201352290
—
IN
01
—
2818456000
PASSPORT ADVANTAGE
KY
01
—
50013921
PASSPORT
KY
05
—
7100110460
—
KY
01
—
P00184515
RAILROAD MEDICARE
—
Enumeration date
10/03/2005
Last updated
04/26/2023
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