Provider Demographics
NPI:1528067899
Name:MEANEY, LAURA ROCHELLE (CRNA)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ROCHELLE
Last Name:MEANEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:R
Other - Last Name:MEANEY-PETILL SKINNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:76 PEACHTREE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3395
Mailing Address - Country:US
Mailing Address - Phone:828-274-3477
Mailing Address - Fax:828-274-7407
Practice Address - Street 1:76 PEACHTREE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3395
Practice Address - Country:US
Practice Address - Phone:828-274-3477
Practice Address - Fax:828-274-7407
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN123836367500000X
CANA3491367500000X
TX666372367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ818809Medicaid
AZ818809Medicaid
CABM609ZMedicare PIN
AZZ119622Medicare PIN