Provider Demographics
NPI:1003020405
Name:BEDEN HYMAN, CARON (NP)
Entity Type:Individual
Prefix:
First Name:CARON
Middle Name:
Last Name:BEDEN HYMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 BERWIND RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2319
Mailing Address - Country:US
Mailing Address - Phone:610-639-3830
Mailing Address - Fax:
Practice Address - Street 1:1127 BERWIND RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2319
Practice Address - Country:US
Practice Address - Phone:610-639-3830
Practice Address - Fax:610-639-3830
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP001440G163WR1000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility