Individual
MRS. TERESA VARNER HEWLETT
Active
Individual
MRS. TERESA VARNER HEWLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R797012
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293630YXV2
MEDICARE PTAN
MS
Enumeration date
03/07/2013
Last updated
05/23/2018
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