Individual
LEANNE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1422 W COLTER ST, PHOENIX, AZ 85013-1971
(216) 832-5909
Mailing address
1422 W COLTER ST, PHOENIX, AZ 85013-1971
(216) 832-5909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1892314
MN
163W00000X
Registered Nurse
RN143162
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0835
AZ
Other
Enumeration date
10/13/2011
Last updated
12/05/2018
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