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Susanne Alice Marie Roman
Family Nurse Practitioner in Dothan, Alabama
NPI 1578211835

Susanne Alice Marie Roman is a Family Nurse Practitioner based in Dothan, AL and is specialized in Family. Susanne Alice Marie Roman practices in Dothan, AL. The NPI Number for Susanne Alice Marie Roman is 1578211835 and holds a License No. 1-156884 (Alabama).

The current practice location address for Susanne Alice Marie Roman is 4300 W Main St Ste 102, Dothan, AL and can be reached out via phone at 334-793-9564.

Location: 4300 W Main St Ste 102, Dothan, AL, 36305-6341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578211835
Provider Name
Susanne Alice Marie Roman
Credential
Provider Entity Type
Individual
Gender
Female
Address
4300 W Main St Ste 102, Dothan, AL, 36305-6341
Phone Number
334-793-9564
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4300 W Main St Ste 102
City
Dothan
State
Alabama
Zip
36305-1306
Phone Number
334-793-9564
Fax Number
person
Provider Business Mailing Address Details
Address
4300 W Main St Ste 102
City
Dothan
State
Alabama
Zip
36305-1306
Phone Number
334-793-9564
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-156884 (Alabama)
Definition
Definition to come...
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