Individual
ANDREA ROMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3257 LIBERTY COMMONS DR NW, KENNESAW, GA 30144-2322
(770) 316-8321
Mailing address
3257 LIBERTY COMMONS DR NW, KENNESAW, GA 30144-2322
(770) 316-8321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN087677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-24D1141
EIN
GA
Enumeration date
12/23/2014
Last updated
12/23/2014
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