Provider Demographics
NPI:1568012334
Name:ROMAN-SZOPINSKI, IRENE (RN)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:ROMAN-SZOPINSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40404 N GAVILAN PEAK PKWY
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-2754
Mailing Address - Country:US
Mailing Address - Phone:623-445-8600
Mailing Address - Fax:623-445-8680
Practice Address - Street 1:40404 N GAVILAN PEAK PKWY
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-2754
Practice Address - Country:US
Practice Address - Phone:623-445-8600
Practice Address - Fax:623-445-8680
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN155080163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse