Individual
MRS. TALIA LYNN ROMANYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7780 N FRESNO ST STE 100, FRESNO, CA 93720-2413
(559) 493-5760
Mailing address
1110 E RIALTO AVE, FRESNO, CA 93704-3314
(559) 288-5082
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95010437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95010437
STATE OF CALIFORNIA BOARD OF REGISTERED NURSING FURNISHING NUMBER
CA
01
—
F08180706
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
—
Enumeration date
01/12/2019
Last updated
04/23/2021
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