Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP001440G | PA |
NPI | 1003020405 |
---|---|
Provider Name | Caron Beden Hyman |
First Address | Wynnewood, PA 19096-2319 |
Second Address | Wynnewood, PA 19096-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 17/03/2018 |