Provider Demographics
NPI:1548593122
Name:HEWITT, BRENDA ANNE (FNP-C, MSN)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:ANNE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:FNP-C, MSN
Other - Prefix:MISS
Other - First Name:BRENDA
Other - Middle Name:ANNE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C, MSN
Mailing Address - Street 1:300 SINGLETON RIDGE RD
Mailing Address - Street 2:ATTENTION PATIENT ACCOUNTING
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-9142
Mailing Address - Country:US
Mailing Address - Phone:843-234-6946
Mailing Address - Fax:843-234-8958
Practice Address - Street 1:4022 POSTAL WAY
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-3537
Practice Address - Country:US
Practice Address - Phone:843-236-0000
Practice Address - Fax:843-236-6191
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY465647-1163WC1500X
NYF339792-1363LF0000X
SC23069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health