Provider Demographics
NPI:1083598130
Name:HEWITT, BRENDA ERIKO
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:ERIKO
Last Name:HEWITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:AMELIA
Mailing Address - State:OH
Mailing Address - Zip Code:45102-1912
Mailing Address - Country:US
Mailing Address - Phone:808-681-9761
Mailing Address - Fax:
Practice Address - Street 1:50 HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-1912
Practice Address - Country:US
Practice Address - Phone:808-681-9761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH372722163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency