Provider Demographics
NPI:1437380664
Name:HEWITT, DANICA JUNE-MCKEE (LPN)
Entity Type:Individual
Prefix:
First Name:DANICA
Middle Name:JUNE-MCKEE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15898 PINEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-8102
Mailing Address - Country:US
Mailing Address - Phone:740-763-4925
Mailing Address - Fax:
Practice Address - Street 1:15898 PINEWOOD TRL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-8102
Practice Address - Country:US
Practice Address - Phone:740-763-4925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 128113 IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse