Roman, Tylie Danielle

Roman, Tylie Danielle is an individual health care provider with primary practice located at 323 E Riverside Dr Ste 224 , Eagle ID 83616-6865. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Roman, Tylie Danielle can be contacted via phone (208) 302-6000.

Contact Information

Primary practice address
323 E Riverside Dr Ste 224 Eagle ID 83616-6865
Phone: (208) 302-6000
Fax: (208) 302-6055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 60660 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 60660 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 60660 Idaho

Profile Details

NPI number 1740981943
LBN Legal business name Roman, Tylie Danielle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2023
Last updated Apr 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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