Individual
CHARMAINE LANDRY HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3220 KALISTE SALOOM RD, LAFAYETTE, LA 70508
(337) 470-3370
(337) 470-4402
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-3370
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN075247 AP06194
LA
363LF0000X
Family Nurse Practitioner
Primary
AP06194
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121090
—
LA
Enumeration date
07/21/2010
Last updated
03/14/2023
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