Provider Demographics
NPI:1245045103
Name:HEBERT, DONNA A
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:A
Last Name:HEBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13001 2ND ST NW LOT 78
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-5207
Mailing Address - Country:US
Mailing Address - Phone:701-509-9322
Mailing Address - Fax:
Practice Address - Street 1:620 BAVARIA DR
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-1545
Practice Address - Country:US
Practice Address - Phone:701-340-0901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide