Doctor Name: | MRS. HEATHER HEWITT-FENTON |
NPI Number: | 1447524632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 163WR0400X |
Business Practice Address: | 11943 217th St Cambria Heights, NY - 114111905 |
Business Phone Number: | 3474238392 |
Business Fax Number: | |
Mailing Address: | 11943 217th St, CAMBRIA HEIGHTS |
State: | NY |
Postal Code: | 114111905 |
Phone Number: | 3474238392 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2012 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WR0400X |
License Number: | 163WR0400X |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |