Individual
MRS. MELISSA RAE ROMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
770 E DUPONT RD, FORT WAYNE, IN 46825-2056
(260) 451-8242
Mailing address
2110 TIMBERLAKE TRL, FORT WAYNE, IN 46804-7733
(260) 466-0635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006315A
IN
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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