Provider Demographics
NPI:1629168141
Name:HEBERT, ADINA H (ARNP)
Entity Type:Individual
Prefix:
First Name:ADINA
Middle Name:H
Last Name:HEBERT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 COURT ST
Mailing Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-1718
Mailing Address - Country:US
Mailing Address - Phone:603-354-6600
Mailing Address - Fax:603-354-6605
Practice Address - Street 1:580 COURT ST
Practice Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1718
Practice Address - Country:US
Practice Address - Phone:603-354-6600
Practice Address - Fax:603-354-6605
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH016415-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH016415-23-03OtherFNP STATE LICENSE
NHMH0854883OtherDEA REGISTRATION NUMBER
P62422Medicare UPIN
NP3950Medicare ID - Type Unspecified