Healthcare Provider Details

I. General information

NPI: 1518149970
Provider Name (Legal Business Name): JANET A ROMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET DUNN CRNP

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 09/25/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5771 ROOSEVELT BLVD STE 610
CLEARWATER FL
33760-3415
US

IV. Provider business mailing address

5771 ROOSEVELT BLVD STE 610
CLEARWATER FL
33760-3415
US

V. Phone/Fax

Practice location:
  • Phone: 727-674-3761
  • Fax:
Mailing address:
  • Phone: 727-674-3761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN568113
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9437115
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number015147
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP011524
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN9437115
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: