Doctor Name: | MS. JUNE MARY ROMAN |
NPI Number: | 1083812044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, CNS |
License Number: | RN172769L |
Business Practice Address: | 272 Shadeland Ave Drexel Hill, PA - 190262120 |
Business Phone Number: | 6106224045 |
Business Fax Number: | |
Mailing Address: | 272 Shadeland Ave, DREXEL HILL |
State: | PA |
Postal Code: | 190262120 |
Phone Number: | 6106224045 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN172769L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |