Provider Demographics
NPI:1518149970
Name:ROMAN, JANET A (APRN)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:A
Last Name:ROMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:5771 ROOSEVELT BLVD STE 610
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3415
Mailing Address - Country:US
Mailing Address - Phone:727-674-3761
Mailing Address - Fax:
Practice Address - Street 1:5771 ROOSEVELT BLVD STE 610
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3415
Practice Address - Country:US
Practice Address - Phone:727-674-3761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN568113163WC0200X
FLRN9437115163WC0200X
PA015147363LA2100X
PASP011524363LA2100X
FLAPRN9437115363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine