Roman, Shamil Latrease

Roman, Shamil Latrease is an individual health care provider with primary practice located at 8008 Westpark Dr , Mc Lean VA 22102-3109. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Roman, Shamil Latrease can be contacted via phone (703) 287-6000.

Contact Information

Primary practice address
8008 Westpark Dr Mc Lean VA 22102-3109
Phone: (703) 287-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 104132147 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Virginia

Profile Details

NPI number 1891386090
LBN Legal business name Roman, Shamil Latrease
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2021
Last updated Sep 18th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891386090 NPPES
Other 104132147 NATIONAL CERTIFICATION CORPORATION

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