Provider Demographics
NPI:1598221517
Name:HEWITT, NATOSHA RENEE
Entity Type:Individual
Prefix:
First Name:NATOSHA
Middle Name:RENEE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 MINNESOTA AVE SE APT 13
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5453
Mailing Address - Country:US
Mailing Address - Phone:202-847-9337
Mailing Address - Fax:
Practice Address - Street 1:1917 MINNESOTA AVE SE APT 13
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5453
Practice Address - Country:US
Practice Address - Phone:202-847-9337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14132374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide