| Doctor Name: | MRS. BRENDA ANNE HEWITT |
| NPI Number: | 1548593122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C, MSN |
| License Number: | 465647-1 |
| Business Practice Address: | 4 Fuller St Alexandria Bay, NY - 136071316 |
| Business Phone Number: | 3154822511 |
| Business Fax Number: | 3154825553 |
| Mailing Address: | 4 Fuller St, ALEXANDRIA BAY |
| State: | NY |
| Postal Code: | 136071316 |
| Phone Number: | 3154822511 |
| Fax Number: | 3154825553 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 465647-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |