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Mr. Eric G Roman, NP
Psychiatric/Mental Health Clinical Nurse Specialist in Evanston, Wyoming
NPI 1700157948

Eric G Roman is a Psychiatric/Mental Health Clinical Nurse Specialist based in Evanston, WY and is specialized in Psychiatric/Mental Health. Eric G Roman practices in Evanston, WY and has the professional credentials of NP. The NPI Number for Eric G Roman is 1700157948 and holds a License No. 25318.1148 (Wyoming).

The current practice location address for Eric G Roman is 831 Highway 150 S, Evanston, WY and can be reached out via phone at 307-789-3464 and via fax at 307-789-7373. You can also correspond with Eric G Roman through the mailing address at 831 HIGHWAY 150 S, EVANSTON, WY - 82930-5340 (mailing address contact number: 307-789-3464).

Location: 831 Highway 150 S, Evanston, WY, 82930-5340
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Provider Profile Details
NPI Number
1700157948
Provider Name
Eric G Roman
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
831 Highway 150 S, Evanston, WY, 82930-5340
Phone Number
307-789-3464
Fax Number
307-789-7373
Provider Enumeration Date
01/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25318.1148 01 WY LICENSE
institution
Provider Business Practice Location Address Details
Address
831 Highway 150 S
City
State
Zip
82930-5340
Phone Number
307-789-3464
Fax Number
307-789-7373
person
Provider Business Mailing Address Details
Address
831 Highway 150 S
City
State
Zip
82930-5340
Phone Number
307-789-3464
Fax Number
307-789-7373
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
25318.1148 (Wyoming)
Definition
Definition to come...
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