Doctor Name: | TENIKA N ROMAN |
NPI Number: | 1073953196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SA-C, LSA |
License Number: | 13191 |
Business Practice Address: | 27609 Pleasure Ride Loop Wesley Chapel, FL - 335441837 |
Business Phone Number: | 8134822289 |
Business Fax Number: | 2147640880 |
Mailing Address: | 27609 Pleasure Ride Loop, WESLEY CHAPEL |
State: | FL |
Postal Code: | 335441837 |
Phone Number: | 8134822289 |
Fax Number: | 2147640880 |
NPI Enumeration Date: | 07/03/2013 |
NPI Last Update Date: | 10/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP2800X |
License Number: | 13191 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Perioperative |
Taxonomy Definition: |