Individual
LATAYA HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 972-8015
Mailing address
57 LINWOOD DR, BLOOMFIELD, CT 06002-1716
(860) 893-3220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9036
CT
390200000X
Student in an Organized Health Care Education/Training Program
9036
CT
Other
Enumeration date
10/14/2020
Last updated
11/06/2020
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