Provider Demographics
NPI:1598524480
Name:BARDWELL, MEGHAN HEBERT (MSN-CNM)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:HEBERT
Last Name:BARDWELL
Suffix:
Gender:F
Credentials:MSN-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10656 CREEK HAVEN LANE
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726
Mailing Address - Country:US
Mailing Address - Phone:225-270-1662
Mailing Address - Fax:
Practice Address - Street 1:277 RUE DE LA VIE ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5133
Practice Address - Country:US
Practice Address - Phone:225-761-1200
Practice Address - Fax:225-761-1215
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACNM08139367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife