CANDICE LYNN HEWITT PA-C NPI 1417206590

NPI Information

NPI: 1417206590
Provider Name: CANDICE LYNN HEWITT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOUTHWEST MEDICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
MSC11 6025
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
ZIP 87131
Phone: (505) 272-5062
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Candice Lynn Hewitt, PA-C is a medical physician assistant in Albuquerque, NM with 12 years of experience. Candice Lynn Hewitt, PA-C NPI is 1417206590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MSC11 6025
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-5062
Fax: (505) 994-7629

The NPI 1417206590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 1/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA2012-0028	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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