Individual provider · Type 1 NPI
Kimberly Ann Roman, CPNP
Pediatric Nurse Practitioner · Detroit, MI
NPI number
1497193668
Active
Practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
22077 Gudith Rd
Woodhaven, MI 48183-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 4704221665 (MI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704221665 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497193668
Kimberly Ann Roman, CPNP's National Provider Identifier is 1497193668, issued on Jun 11, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Jun 11, 2013.