Doctor Name: | KATHLEEN A HEBEBRAND |
NPI Number: | 1356430136 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,RN,NP-C |
License Number: | NP07958 |
Business Practice Address: | 12000 Mccracken Rd Suite 550 Garfield Hts, OH - 441252964 |
Business Phone Number: | 2166638686 |
Business Fax Number: | 2166632153 |
Mailing Address: | 12000 Mccracken Rd, Suite 550 GARFIELD HTS |
State: | OH |
Postal Code: | 441252964 |
Phone Number: | 2166638686 |
Fax Number: | 2166632153 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | NP07958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |