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 1:2959 W 3825 S
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-6830
Mailing Address - Country:US
Mailing Address - Phone:571-455-9445
Mailing Address - Fax:
Practice Address - Street 1:180 W ELECTION RD STE 200
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-6406
Practice Address - Country:US
Practice Address - Phone:801-823-7592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT94800330-3102163WN0002X
IDN-18859163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care