Provider Demographics
NPI:1427027481
Name:HEWLETT, DIANA J (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:J
Last Name:HEWLETT
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 ROUTE 72 W STE 240
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2483
Mailing Address - Country:US
Mailing Address - Phone:732-359-5444
Mailing Address - Fax:732-276-9645
Practice Address - Street 1:1301 ROUTE 72 W STE 240
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2483
Practice Address - Country:US
Practice Address - Phone:732-359-5444
Practice Address - Fax:732-276-9645
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00054500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ078748SBVMedicare PIN
NJ078748A92Medicare ID - Type Unspecified