Provider Demographics
NPI:1023328408
Name:HYMAN, KARA MADONNA (APRN)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:MADONNA
Last Name:HYMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:MADONNA
Other - Last Name:BRAZWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6722 COTTER DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-2720
Mailing Address - Country:US
Mailing Address - Phone:850-586-7890
Mailing Address - Fax:
Practice Address - Street 1:907 MAR WALT DR STE 2011
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6756
Practice Address - Country:US
Practice Address - Phone:850-586-7890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9313839163W00000X
FLAPRN11011031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse