Individual provider · Type 1 NPI
Jonathan Roman, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Corona, NY
NPI number
1164896874
Active
Practice location
10467 44th Ave Apt 2
Corona, NY 11368-2597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 704778-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F404462-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Corona
About NPI 1164896874
Jonathan Roman, NURSE PRACTITIONER's National Provider Identifier is 1164896874, issued on Nov 18, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Corona, NY. The record was last updated on Nov 21, 2022.