| Doctor Name: | MRS. DAWN MARIE ROEMER |
| NPI Number: | 1093995466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 133093 |
| Business Practice Address: | 714 Gravois Rd Ste 200 Fenton, MO - 63026 |
| Business Phone Number: | 6363495437 |
| Business Fax Number: | 6363496663 |
| Mailing Address: | 714 Gravois Rd, Ste 200 FENTON |
| State: | MO |
| Postal Code: | 63026 |
| Phone Number: | 6363495437 |
| Fax Number: | 6363496663 |
| NPI Enumeration Date: | 11/13/2007 |
| NPI Last Update Date: | 01/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 133093 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |