Individual
MRS. HEATHER HEWITT-FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11943 217TH ST, CAMBRIA HEIGHTS, NY 11411-1905
(347) 423-8392
Mailing address
11943 217TH ST, CAMBRIA HEIGHTS, NY 11411-1905
(347) 423-8392
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
163WG0600X
NY
163WR0400X
Rehabilitation Registered Nurse
163WR0400X
NY
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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