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Contact Information

KIMBERLY A ROMAN, CPNP
3901 BEAUBIEN ST
DETROIT, MI48201-2119
 Phone: 313-745-0071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for KIMBERLY A ROMAN · (Female)

NPI # 1497193668
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 06/11/2013
Last updated 06/11/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704221665
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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