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NPI Code Detail

MEDICARE: CALLEY HEWES FNP-BC

MEDICARE:   CALLEY  HEWES  FNP-BC
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
1363LX0106XOccupational Health Nurse Practitioner101.0129040VT

General Provider Information

NPI Number : 1841701299
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLEY HEWES FNP-BC
Provider Business Mailing Address
First Line : 270 WINDCREST RD
Second Line :
City : NORTH CLARENDON
State : VT
Zip : 05759-9533
Country : US
Telephone Number : 802-786-6657
Fax Number : 802-786-6661
Provider Business Practice Location Address
First Line : 270 WINDCREST RD
Second Line :
City : NORTH CLARENDON
State : VT
Zip : 05759-9533
Country : US
Telephone Number : 802-786-6657
Fax Number : 802-786-6661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2017
Last Update Date : 10/12/2017

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Directions to “ CALLEY HEWES FNP-BC” Practice Location

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