MEDICARE: LYNNE CATHERINE HEWITT NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	26NN0869400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598765554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE CATHERINE HEWITT NP

Provider Business Mailing Address
First Line	:	201 ROUTE 24S BLDG C-3
Second Line	:
City	:	COLTS NECK
State	:	NJ
Zip	:	07722
Country	:	US
Telephone Number	:	732-866-2284
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 ROUTE 24S BLDG C-3
Second Line	:
City	:	COLTS NECK
State	:	NJ
Zip	:	07722
Country	:	US
Telephone Number	:	732-866-2284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	08/16/2022

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