Provider Demographics
NPI:1053673962
Name:HEBERT, BARBARA (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 COUNTRY PARK DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6062
Mailing Address - Country:US
Mailing Address - Phone:337-262-5311
Mailing Address - Fax:337-262-5237
Practice Address - Street 1:825 KALISTE SALOOM RD
Practice Address - Street 2:BLDG 3 STE 100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4284
Practice Address - Country:US
Practice Address - Phone:337-262-5311
Practice Address - Fax:337-262-5237
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN039132163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health