Healthcare Provider Details

I. General information

NPI: 1558163212
Provider Name (Legal Business Name): SARAH HEFFERNAN PNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH STOIBER

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 YOUNGSVILLE HWY STE 100
LAFAYETTE LA
70508-5173
US

IV. Provider business mailing address

302 HACKER ST
NEW IBERIA LA
70560-4508
US

V. Phone/Fax

Practice location:
  • Phone: 337-330-0031
  • Fax: 337-735-3059
Mailing address:
  • Phone: 337-330-2576
  • Fax: 337-417-9909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number239195
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: