Provider Demographics
NPI:1699262410
Name:HROMADA, KAYLA (FNP-C)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:HROMADA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-6122
Mailing Address - Country:US
Mailing Address - Phone:440-382-6827
Mailing Address - Fax:
Practice Address - Street 1:312 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-6122
Practice Address - Country:US
Practice Address - Phone:440-382-6827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN691871163W00000X
PASP018774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse