MEDICARE: MS. LINDA MARIE HEWETT 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	363LF0000X	Family Nurse Practitioner	92124	CO
2	363LF0000X	Family Nurse Practitioner	APN.0002710-NP	CO

General Provider Information

NPI Number	:	1952334989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA MARIE HEWETT NP

Provider Business Mailing Address
First Line	:	PO BOX 746081
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6081
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:	312-929-0373

Provider Business Practice Location Address
First Line	:	2877 E FOUNTAIN BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-2312
Country	:	US
Telephone Number	:	719-454-6009
Fax Number	:	319-258-1319

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	11/06/2023

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