Individual
THAINA C MORAVIA-ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-8650
(781) 744-8000
Mailing address
911 S WASHINGTON ST, KENNEWICK, WA 99336-5600
(509) 942-2288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2286524
MA
363L00000X
Nurse Practitioner
AP60623185
WA
363L00000X
Nurse Practitioner
Primary
RN2286524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568835486
—
WA
Enumeration date
11/02/2015
Last updated
10/11/2022
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