MEDICARE: QUTREA HYMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN305235	PA

General Provider Information

NPI Number	:	1871453126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUTREA HYMAN

Provider Business Mailing Address
First Line	:	101 WASHINGTON LN # W224
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-3505
Country	:	US
Telephone Number	:	215-403-6984
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 WASHINGTON LN # W224
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-3505
Country	:	US
Telephone Number	:	215-403-6984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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Directions to “ QUTREA HYMAN ” Practice Location

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