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Individual
TAMEKA ROMAN IRVIN
Active
Individual
TAMEKA ROMAN IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19151
SC
364S00000X
Clinical Nurse Specialist
19151
SC
364SA2200X
Adult Health Clinical Nurse Specialist
19151
SC
364SA2200X
Adult Health Clinical Nurse Specialist
CNS-00255
NM
364SG0600X
Gerontology Clinical Nurse Specialist
19151
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3016
—
SC
01
—
SC48035019
MEDICARE PIN
SC
Enumeration date
11/18/2014
Last updated
04/25/2022
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