Individual
MRS. TINA SHIVE ROMAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
555 E BROADWAY AVE, JACKSON, WY 83001-8640
(307) 733-3636
Mailing address
4290 BALSAM LN, JACKSON, WY 83001-8984
(307) 733-3636
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
19009
WY
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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