ROSHAWNA IMAN PNP-BC
NPI 1508346289
Nurse Practitioner - Pediatrics in Morgantown, WV

Active since August 21, 2018
9000 COOMBS FARM RD STE 102, MORGANTOWN, WV 26508(304) 599-8003(304) 599-8003 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2020, Aug 21, 2018 (2 updates tracked since 2018).

About Roshawna Iman Pnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSHAWNA IMAN PNP-BC (NPI 1508346289) is an individual pediatrics provider in Morgantown, West Virginia, licensed in West Virginia (80117) and active in the NPI registry since August 2018. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508346289
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameROSHAWNA IMANCredential: PNP-BC
Location Address9000 COOMBS FARM RD STE 102Morgantown, WV 26508-1150
Mailing Address1247 Suncrest Town Centre DrMorgantown, WV 26505-1876 · (304) 599-8000 · Fax (304) 599-8003
Fax(304) 599-8003
Sole ProprietorYes
Enumeration DateAugust 21, 2018
Last NPPES UpdateApril 1, 20202 updates tracked since enumeration
NPPES CertifiedApril 1, 2020
NPI 1508346289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WV · 80117
9000 COOMBS FARM RD STE 102, Morgantown, WV 26508

Other Names 1

Former Name (1)Roshawna Mongold

Secondary Practice Locations 3

Location 1139 Conference Center Way Ste 113Bridgeport, WV 26330-9147 · Phone (304) 599-8003 · Fax (304) 599-8003
Location 2101 Tygart Mall Loop Ste 102AFairmont, WV 26554-2972 · Phone (304) 599-8003 · Fax (304) 599-8003
Location 31247 Suncrest Town Centre DrMorgantown, WV 26505-1876 · Phone (304) 599-8000 · Fax (304) 599-8003

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
9000 COOMBS FARM RD STE 102
MORGANTOWN, WV 26508
Pediatrics
9000 COOMBS FARM RD STE 102
MORGANTOWN, WV 26508
Nurse Practitioner (Pediatrics)
9000 COOMBS FARM RD STE 102
MORGANTOWN, WV 26508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508346289, enumerated as an "individual" on August 21, 2018.

The provider is located at 9000 COOMBS FARM RD STE 102 MORGANTOWN, WV 26508 and the phone number is (304) 599-8003.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.