Healthcare Provider Details

I. General information

NPI: 1992667919
Provider Name (Legal Business Name): RACHEL LEANN HEWSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 VERMONT AVE NW
WASHINGTON DC
20571-0001
US

IV. Provider business mailing address

320 COLDWATER CREEK CT
CONROE TX
77304-1458
US

V. Phone/Fax

Practice location:
  • Phone: 701-541-5563
  • Fax:
Mailing address:
  • Phone: 701-541-5563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number1180916
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: