Provider Demographics
NPI:1306563366
Name:WEBRE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WEBRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6378 YATTON DR
Mailing Address - Street 2:
Mailing Address - City:ADDIS
Mailing Address - State:LA
Mailing Address - Zip Code:70710-3086
Mailing Address - Country:US
Mailing Address - Phone:337-277-8610
Mailing Address - Fax:
Practice Address - Street 1:8387 NEWFIELD DR
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:LA
Practice Address - Zip Code:70755-3605
Practice Address - Country:US
Practice Address - Phone:225-412-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA227155363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily