Individual
STACEY HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2144 QUEENS CT, READING, PA 19606-9203
(610) 823-7780
Mailing address
2144 QUEENS CT, READING, PA 19606-9203
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016977
PA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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