Individual
MRS. KIMBERLY ANN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-0071
Mailing address
22077 GUDITH RD, WOODHAVEN, MI 48183-1502
(734) 576-6176
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
4704221665
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704221665
MI
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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