Healthcare Provider Details

I. General information

NPI: 1992895437
Provider Name (Legal Business Name): PATRICE MARIA HEBERT CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 SKYLINE DRIVE
ROCHESTER MN
55902
US

IV. Provider business mailing address

2653 11TH AVE NW
ROCHESTER MN
55901-7776
US

V. Phone/Fax

Practice location:
  • Phone: 507-252-0885
  • Fax: 507-529-8452
Mailing address:
  • Phone: 507-282-4034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberR 106068-3
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: