Healthcare Provider Details

I. General information

NPI: 1780398560
Provider Name (Legal Business Name): NATASHA R HEWITT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 FAME AVE STE 220
HANOVER PA
17331-1587
US

IV. Provider business mailing address

250 FAME AVE STE 220
HANOVER PA
17331-1587
US

V. Phone/Fax

Practice location:
  • Phone: 717-632-5264
  • Fax: 717-632-1165
Mailing address:
  • Phone: 717-632-5264
  • Fax: 717-632-1165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NATASHA RAE HEWITT
Title or Position: DPM
Credential: DPM
Phone: 717-632-5264