Individual
MR. ERIC G ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
25318.1148
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25318.1148
LICENSE
WY
Enumeration date
01/19/2012
Last updated
03/13/2013
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