Individual provider · Type 1 NPI

Laura Glass, NP

Psychiatric/Mental Health Nurse Practitioner · Myrtle Beach, SC

NPI number 1114786845 Active

Practice location

101 Brightwater Dr
Myrtle Beach, SC 29579-8275

Mailing address

122 Pine Grove Cir
Clover, SC 29710-8943

Other practice locations

  • 122 Pine Grove Cir, Clover, SC 29710-8943 · (803) 373-9378

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X28499 (SC)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X5023682 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114786845

Laura Glass, NP's National Provider Identifier is 1114786845, issued on Mar 15, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Myrtle Beach, SC. The record was last updated on May 20, 2026.