Provider Demographics
NPI:1174526644
Name:HEBERT, ANA MARIA H (NP)
Entity type:Individual
Prefix:MS
First Name:ANA MARIA
Middle Name:H
Last Name:HEBERT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL CENTER BLVD N713
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072
Mailing Address - Country:US
Mailing Address - Phone:504-393-0088
Mailing Address - Fax:504-393-0078
Practice Address - Street 1:1111 MEDICAL CENTER BLVD N713
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072
Practice Address - Country:US
Practice Address - Phone:504-393-0088
Practice Address - Fax:504-393-0078
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN056576 AP03111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1537209Medicaid
LA5X360Medicare ID - Type Unspecified
LA1537209Medicaid