Provider Demographics
NPI:1073131793
Name:HEWLETT, ROBIN (CNM)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:HEWLETT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5322 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-1918
Mailing Address - Country:US
Mailing Address - Phone:267-266-3649
Mailing Address - Fax:
Practice Address - Street 1:100 INDEPENDENCE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1039
Practice Address - Country:US
Practice Address - Phone:856-341-8474
Practice Address - Fax:856-325-5003
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010571176B00000X
NJ25ME00075901367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife