Doctor Name: | MARY LAURENCE HEBERT |
NPI Number: | 1386068971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN097404 |
Business Practice Address: | Hwy 160/163 Bldg Ka2010 Kayenta, AZ - 860330368 |
Business Phone Number: | 9286974000 |
Business Fax Number: | |
Mailing Address: | 1156 Bowman Ctst100a, MT. PLEASANT |
State: | SC |
Postal Code: | 29464 |
Phone Number: | 8886866877 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2014 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | RN097404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |