Provider Demographics
NPI:1295915189
Name:HEBEBRAND, PATRICIA A (LPN IV)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:HEBEBRAND
Suffix:
Gender:F
Credentials:LPN IV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8298 HARMON DR
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1814
Mailing Address - Country:US
Mailing Address - Phone:216-215-7641
Mailing Address - Fax:
Practice Address - Street 1:8298 HARMON DR
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1814
Practice Address - Country:US
Practice Address - Phone:216-215-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH121775 IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse