Most Relevant Information
Provider Data
| NPI Number: | 1003666298 |
| Provider Name: | COREY ROMAN MSN, APRN, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 5019823 |
Most Important Dates
| Enumeration Date: | 03/22/2024 |
| Last Updated: | 03/22/2024 |
Provider Practice Location
310 N MAIN ST
LEXINGTON
NC
272923504
Practice Location Phone/Fax
| Phone: | 3362252528 |
| Fax: |
Provider Mailing Location
100 E MONMOUTH ST
WINSTON SALEM
NC
271273006
Provider Mailing Phone/Fax
| Phone: | 3362252528 |
| Fax: |