Provider Demographics
NPI:1558163212
Name:HEFFERNAN, SARAH (PNP-PC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HEFFERNAN
Suffix:
Gender:
Credentials:PNP-PC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:STOIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 HACKER ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4508
Mailing Address - Country:US
Mailing Address - Phone:337-330-2576
Mailing Address - Fax:337-417-9909
Practice Address - Street 1:401 YOUNGSVILLE HWY STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5173
Practice Address - Country:US
Practice Address - Phone:337-330-0031
Practice Address - Fax:337-735-3059
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA239195363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics