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Individual

RACHEL CERETH ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1095 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 626-1900
(616) 327-3100
Mailing address
803 ROSE ST, TRAVERSE CITY, MI 49686-3340
(231) 392-6394
(616) 327-3100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704313428
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704313428
MI

Other

Enumeration date
10/29/2018
Last updated
06/15/2026
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