Healthcare Provider Details

I. General information

NPI: 1932057726
Provider Name (Legal Business Name): MEGAN A HEBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN CULBERSON

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E MIDLAND RD STE A
AUBURN MI
48611-9780
US

IV. Provider business mailing address

1111 S EUCLID AVE STE A
BAY CITY MI
48706-3302
US

V. Phone/Fax

Practice location:
  • Phone: 989-439-1235
  • Fax: 989-439-1238
Mailing address:
  • Phone: 989-439-1235
  • Fax: 989-439-1238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704339522
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: