Individual provider · Type 1 NPI
Tyler David Hewitt I
Student in an Organized Health Care Education/Training Program · North Haledon, NJ
NPI number
1194315432
Active
Practice location
15 Vine St
North Haledon, NJ 07508-2544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in North Haledon
About NPI 1194315432
Tyler David Hewitt I's National Provider Identifier is 1194315432, issued on Jan 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Haledon, NJ. The record was last updated on Jan 20, 2021.