Provider Demographics
NPI:1992583355
Name:GLASER, LAURA (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:GLASER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1779
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465-1779
Mailing Address - Country:US
Mailing Address - Phone:843-212-6788
Mailing Address - Fax:
Practice Address - Street 1:1421 SHUCKER CIR STE 1120
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4978
Practice Address - Country:US
Practice Address - Phone:843-212-6788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27364363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily