Provider Demographics
NPI:1063396760
Name:HEBERT, ISABELLA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:MARIE
Last Name:HEBERT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W292S2828 CAMBRIAN RDG
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-9268
Mailing Address - Country:US
Mailing Address - Phone:414-840-5256
Mailing Address - Fax:
Practice Address - Street 1:W292S2828 CAMBRIAN RDG
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-9268
Practice Address - Country:US
Practice Address - Phone:414-840-5256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program