TYLIE DANIELLE ROMAN CNP NPI 1740981943

NPI Information

  • NPI: 1740981943
  • Provider Name: TYLIE DANIELLE ROMAN, CNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1510 12TH AVE RD STE 200
    NAMPA, ID
    ZIP 83686
  • Phone: (208) 302-6000

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NPI Details

Tylie Danielle Roman, CNP is a gerontology nurse practitioner in Nampa, ID with 4 years of experience. Tylie Danielle Roman, CNP NPI is 1740981943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1510 12TH AVE RD STE 200
NAMPA, ID
ZIP 83686-946
Phone: (208) 302-6000
Fax: (208) 302-5455

The NPI 1740981943 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2023 and was last updated on 1/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse60660IDAHONo
2363LA2100XNurse PractitionerAcute Care60660IDAHONo
3363LG0600XNurse PractitionerGerontology60660IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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