Stephanie A Hebberd
Nurse Practitioner - Family Medicine
251 E Peck Rd
Peck
, Michigan 48466-9589
Stephanie A Hebberd
Nurse Practitioner - Family Medicine
251 E Peck Rd
Peck
, Michigan 48466-9589
(810) 648-3352
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Stephanie A Hebberd
- 120 N Delaware St
- Sandusky, MI
- Zip : 48471-1009
- Fax : (810) 648-3352
- Phone : (810) 648-0561
Second Address
- Stephanie A Hebberd
- 251 E Peck Rd
- Peck, MI
- Zip : 48466-9589
- Fax : (810) 378-4905
- Phone : (810) 378-4900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 4704282943 | MI |
National Provider Identifier
| NPI | 1003285024 |
|---|---|
| Provider Name | Stephanie A Hebberd |
| First Address | Sandusky, MI 48471-1009 |
| Second Address | Peck, MI 48466-9589 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2015 |
| Last Update Date | 29/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PENDING | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.