Provider Demographics
NPI:1144493263
Name:HEBEL, ELIZABETH DENISE (APN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DENISE
Last Name:HEBEL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 W MARKHAM ST # 111E
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-4024
Mailing Address - Country:US
Mailing Address - Phone:501-257-5838
Mailing Address - Fax:501-257-5774
Practice Address - Street 1:4300 W MARKHAM ST # 111E
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4024
Practice Address - Country:US
Practice Address - Phone:501-257-5838
Practice Address - Fax:501-257-5774
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03098 ANP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health