Provider Demographics
NPI:1790478881
Name:HEWETT, BRITTANY S (PHD CFLE)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:S
Last Name:HEWETT
Suffix:
Gender:F
Credentials:PHD CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 633
Mailing Address - Street 2:
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-0633
Mailing Address - Country:US
Mailing Address - Phone:910-477-4437
Mailing Address - Fax:
Practice Address - Street 1:1542 MALTWOOD CT SE
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-2202
Practice Address - Country:US
Practice Address - Phone:910-477-4437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist