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NPI Code Detail

MEDICARE: MRS. CASEY HEBERT NP

MEDICARE: MRS. CASEY HEBERT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPO7866LA

General Provider Information

NPI Number : 1477969228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CASEY HEBERT NP
Provider Business Mailing Address
First Line : 9372 HIGHWAY 165 S
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-9786
Country : US
Telephone Number : 318-484-9588
Fax Number : 318-484-9590
Provider Business Practice Location Address
First Line : 9372 HIGHWAY 165 S
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-9786
Country : US
Telephone Number : 318-484-9588
Fax Number : 318-484-9590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2014
Last Update Date : 07/01/2014

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Directions to “ MRS. CASEY HEBERT NP” Practice Location

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