Individual
ROMA MORGAN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1205 MCLAIN ST, NEWPORT, AR 72112-3533
(870) 512-3355
Mailing address
1205 MCLAIN ST, NEWPORT, AR 72112-3533
(870) 512-3355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005854
AR
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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