Provider Demographics
NPI:1679832505
Name:ROMANS, DORIS (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:
Last Name:ROMANS
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 FIELDSTONE CT
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6423
Mailing Address - Country:US
Mailing Address - Phone:630-205-2577
Mailing Address - Fax:
Practice Address - Street 1:712 FIELDSTONE CT
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60010-6423
Practice Address - Country:US
Practice Address - Phone:630-205-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-12
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209006856363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health