Provider Demographics
NPI:1366285827
Name:AUBERT, STEPHENIE ANN (MED)
Entity type:Individual
Prefix:
First Name:STEPHENIE
Middle Name:ANN
Last Name:AUBERT
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 ALEXIS CT
Mailing Address - Street 2:
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-5034
Mailing Address - Country:US
Mailing Address - Phone:225-206-3016
Mailing Address - Fax:
Practice Address - Street 1:143 ALEXIS CT
Practice Address - Street 2:
Practice Address - City:VACHERIE
Practice Address - State:LA
Practice Address - Zip Code:70090-5034
Practice Address - Country:US
Practice Address - Phone:225-206-3016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator