Mary Laurence Hebert, R.N.
Individual provider Active NPI Emergency Registered Nurse · Kayenta, AZ
NPI 1386068971 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1386068971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- RN097404 (LA)
- Practice address
- Hwy 160/163 BLDG Ka2010
Kayenta, AZ 86033-0368 - Phone
- (928) 697-4000
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN097404 | LA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Chinle Comprehensive | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN097404 | LA | Yes |
Addresses
Primary practice location
Hwy 160/163 BLDG Ka2010
Kayenta, AZ 86033-0368
Mailing address
1156 Bowman Ctst100A
Mt. Pleasant, SC 29464
Phone (888) 686-6877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN097404 | Other | LA | LICENSE |
Other providers in Kayenta, AZ
- Guardian Flight LLC
- Tavia Gura
- Deborah Adrene Hairston
- Regina Harrison-Sherlock
- Christy Harrison
- Helping Hands Home Care
- Helping Hands Home Care, LLC
- Melodye Hennings
- Susan Herbstritt
- Kerrilene Joy Herder
All providers in Kayenta, AZ · Emergency Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.