Provider Demographics
NPI:1255631388
Name:HEBERT, ASHLEY (ARNP, CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:ARNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 S SANTA FE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-6226
Mailing Address - Country:US
Mailing Address - Phone:405-509-6777
Mailing Address - Fax:
Practice Address - Street 1:523 S SANTA FE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-6226
Practice Address - Country:US
Practice Address - Phone:405-509-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0092663363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics