Provider Demographics
NPI:1881491132
Name:HEWLETT, ERIKA (FNTP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:HEWLETT
Suffix:
Gender:
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 FORK MOUNTAIN RD SW
Mailing Address - Street 2:
Mailing Address - City:MEADOWS OF DAN
Mailing Address - State:VA
Mailing Address - Zip Code:24120-3692
Mailing Address - Country:US
Mailing Address - Phone:480-793-9280
Mailing Address - Fax:
Practice Address - Street 1:617 FORK MOUNTAIN RD SW
Practice Address - Street 2:
Practice Address - City:MEADOWS OF DAN
Practice Address - State:VA
Practice Address - Zip Code:24120-3692
Practice Address - Country:US
Practice Address - Phone:480-793-9280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA133N00000X, 171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No133N00000XDietary & Nutritional Service ProvidersNutritionist