Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0024173752 | VA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0024173752 | VA |
NPI | 1013360569 |
---|---|
Provider Name | Ms. Robin Hewitt |
First Address | Virginia Beach, VA 23462-5204 |
Second Address | Portsmouth, VA 23703-4503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2016 |
Last Update Date | 27/07/2020 |