Individual
ANNA V ROMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(215) 442-5085
(856) 641-7668
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0806
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO12079900
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00244600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075886
AANA NUMBER
NJ
01
—
P00724840
RAILROAD MEDICARE PTAN
NJ
Enumeration date
10/03/2006
Last updated
06/21/2012
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