Provider Demographics
NPI:1366942872
Name:HEWETT, SARAH CHRISTINE (LAT, ATC, RN, EMT)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:CHRISTINE
Last Name:HEWETT
Suffix:
Gender:F
Credentials:LAT, ATC, RN, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SCHOOL WAY
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-9716
Mailing Address - Country:US
Mailing Address - Phone:408-655-0373
Mailing Address - Fax:
Practice Address - Street 1:2 SCHOOL WAY
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-9716
Practice Address - Country:US
Practice Address - Phone:408-655-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE160410146N00000X
CA95368960163WP0808X
20000261232255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health