Provider Demographics
NPI:1336125210
Name:HYMAS, CONSTANCE ELAINE (RN)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:ELAINE
Last Name:HYMAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:ELAINE
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PSC 1003
Mailing Address - Street 2:BOX 8
Mailing Address - City:KEFLAVIK
Mailing Address - State:ICELAND
Mailing Address - Zip Code:AE
Mailing Address - Country:IS
Mailing Address - Phone:011354-425-5233
Mailing Address - Fax:
Practice Address - Street 1:PSC 1003
Practice Address - Street 2:BOX 8
Practice Address - City:KEFLAVIK
Practice Address - State:ICELAND
Practice Address - Zip Code:AE
Practice Address - Country:IS
Practice Address - Phone:011354-425-5233
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA535654163WN0002X
IDN-18859163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care