| Doctor Name: | JANICE C ROMAN |
| NPI Number: | 1174643423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN071935 |
| Business Practice Address: | 29 Black Coal Drive 29 Black Coal Drive Fort Washakie, WY - 82514 |
| Business Phone Number: | 3073323521 |
| Business Fax Number: | 3073326939 |
| Mailing Address: | Po Box 257, 75 Angler Rd KINNEAR |
| State: | WY |
| Postal Code: | 825160257 |
| Phone Number: | 3073323521 |
| Fax Number: | 3073326939 |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN071935 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |