Individual
DMITRY SERGEYEVICH ROMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
(417) 347-2118
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8400
(417) 347-5818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147999
KS
363L00000X
Nurse Practitioner
Primary
20230080819
MO
363LF0000X
Family Nurse Practitioner
81207
KS
Other
Enumeration date
04/19/2022
Last updated
01/07/2026
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