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NPI Code Detail

MEDICARE: PATRICIA MOUL HEWSON C.R.N.P.

MEDICARE: PATRICIA MOUL HEWSON C.R.N.P.
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
1363LP0200XPediatric Nurse PractitionerVP000992DPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11488053OTHERPAAETNA
21590248OTHERPABLUE CROSS
32268264000OTHERPAKEYSTONE HEALTH PLAN EAST
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
530027023OTHERPAKEYSTONE MERCY HEALTH PLAN

General Provider Information

NPI Number : 1871550699
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MOUL HEWSON C.R.N.P.
Provider Business Mailing Address
First Line : 1500 MARKET STREET
Second Line : LM 500 WEST TOWER
City : PHILADELPHIA
State : PA
Zip : 19120-2100
Country : US
Telephone Number : 215-985-2595
Fax Number :
Provider Business Practice Location Address
First Line : 1900 N 9TH ST
Second Line : SUITE 104
City : PHILADELPHIA
State : PA
Zip : 19122-1909
Country : US
Telephone Number : 215-765-6690
Fax Number : 215-765-6694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/14/2016

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