Whalio Doctors

NPI 1700157948

Eric G Roman, NP

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Evanston, WY

Practice location

Address
831 Highway 150 S, Evanston, WY 82930-5340
Phone
(307) 789-3464
Fax
(307) 789-7373
Mailing address
831 Highway 150 S P.O. Box 177, Evanston, WY 82930-5340

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 25318.1148 (WY)

Registry record

NPI
1700157948
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jan 2012
Record last updated
13 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.