Jan Michelle Lomanta Roflo, DNP
Nurse Practitioner, Gerontology in Crystal River, FL. Individual provider (NPI-1).
NPI number1013569748
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1013569748
- Entity type
- Individual (NPI-1)
- Name
- Jan Michelle Lomanta Roflo
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 11003106 | FL | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 11003106 | FL | |
| 363LP2300X | Nurse Practitioner, Primary Care | 11003106 | FL |
Practice location
6216 W Gulf To Lake HwyCrystal River, FL 34429-7558
Phone 352-613-5853
Mailing address
4735 N Apple Valley AveBeverly Hills, FL 34465-3008
Phone 352-613-5853
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