Provider Demographics
NPI:1568252344
Name:HEWITT, TRISHA (RN)
Entity type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:
Last Name:HEWITT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 N CENTRAL AVE APT 507
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3861
Mailing Address - Country:US
Mailing Address - Phone:516-395-8614
Mailing Address - Fax:
Practice Address - Street 1:49 N CENTRAL AVE APT 507
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3861
Practice Address - Country:US
Practice Address - Phone:516-395-8614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY794187163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse