Provider Demographics
NPI:1659776482
Name:HYMEL, HEATHER ELIZABETH (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:ELIZABETH
Last Name:HYMEL
Suffix:
Gender:F
Credentials:ARNP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-526-0194
Mailing Address - Fax:225-765-9464
Practice Address - Street 1:1937 S BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4632
Practice Address - Country:US
Practice Address - Phone:225-647-8511
Practice Address - Fax:225-644-9286
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP 60502069363LP0200X
TXAP125210363LP0200X
LAAP09680363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics