Provider Demographics
NPI:1376231365
Name:ROMAINE, ERIN (HIS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ROMAINE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:DOROTHY
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HIS
Mailing Address - Street 1:6700 WASHINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3405
Mailing Address - Country:US
Mailing Address - Phone:800-328-8602
Mailing Address - Fax:
Practice Address - Street 1:2531 S SHIELDS ST STE H
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1886
Practice Address - Country:US
Practice Address - Phone:970-315-0498
Practice Address - Fax:970-484-1087
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist