| Shamil Latrease Roman, WHNP | |
|
8008 Westpark Dr, Mc Lean, VA 22102-3109 | |
| (703) 287-6000 | |
| Not Available |
| Full Name | Shamil Latrease Roman |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 8008 Westpark Dr, Mc Lean, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891386090 | NPI | - | NPPES |
| 104132147 | Other | NATIONAL CERTIFICATION CORPORATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 104132147 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | (Virginia) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
| Entity Name | Womens Health And Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497901441 PECOS PAC ID: 8224197306 Enrollment ID: O20081104000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Shamil Latrease Roman, WHNP 2 Bradbury Way, Stafford, VA 22554-1800 Ph: (571) 296-9520 | Shamil Latrease Roman, WHNP 8008 Westpark Dr, Mc Lean, VA 22102-3109 Ph: (703) 287-6000 |
Courtney Walsh Marsh, MSN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1760 Old Meadow Rd Ste 210, Mc Lean, VA 22102 Phone: 703-717-4264 Fax: 703-717-4265 | |
Katelyn Day, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1749 Old Meadow Rd Ste 600, Mc Lean, VA 22102 Phone: 703-783-3300 |