Individual
MRS. TRACEE LYNN HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CFNP
Contact information
Practice address
579 TURPS RD, RAGLEY, LA 70657-7213
(337) 515-8453
Mailing address
579 TURPS RD, RAGLEY, LA 70657-7213
(337) 515-8453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04974
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584452
—
LA
Enumeration date
08/14/2006
Last updated
08/21/2012
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