Individual provider · Type 1 NPI
Dmitry Sergeyevich Romanov, NP
Nurse Practitioner · Joplin, MO
Practice location
1102 W 32nd St
Joplin, MO 64804-3503
Fax (417) 347-2118
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 81207 (KS) |
| Nurse Practitioner Primary | 363L00000X | 20230080819 (MO) |
| Registered Nurse | 163W00000X | 147999 (KS) |
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 1407599251
Dmitry Sergeyevich Romanov, NP's National Provider Identifier is 1407599251, issued on Apr 19, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Joplin, MO. The record was last updated on Jan 7, 2026.