Individual provider · Type 1 NPI

Stephanie Walsh Roumiantseva, CRNP

Nurse Practitioner · Wilkes Barre, PA

NPI number 1003540287 Active

Practice location

950 E Mountain Dr
Wilkes Barre, PA 18711-0028

Call (570) 808-5770 Map

Fax (570) 808-6362

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	RN649103 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003540287

Stephanie Walsh Roumiantseva, CRNP's National Provider Identifier is 1003540287, issued on Jul 13, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 9, 2025.