Healthcare Provider Details

I. General information

NPI: 1336937960
Provider Name (Legal Business Name): RONIA HYMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 WIDEWATERS PKWY STE J
KNIGHTDALE NC
27545-7315
US

IV. Provider business mailing address

901 WIDEWATERS PKWY
KNIGHTDALE NC
27545-7323
US

V. Phone/Fax

Practice location:
  • Phone: 984-298-2111
  • Fax:
Mailing address:
  • Phone: 919-591-5521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5025006
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: