Provider Demographics
NPI:1174405070
Name:HERBERT, ANN (IBCLC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:HERBERT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7347 PALMETTO SPRINGS TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3203
Mailing Address - Country:US
Mailing Address - Phone:832-421-7105
Mailing Address - Fax:
Practice Address - Street 1:7347 PALMETTO SPRINGS TRL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3203
Practice Address - Country:US
Practice Address - Phone:832-421-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX820576163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant