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NPI Code Detail

MEDICARE: MRS. MICHELLE S ROMINE CREDENTIALED NURSE

MEDICARE: MRS. MICHELLE S ROMINE CREDENTIALED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse381467CA

General Provider Information

NPI Number : 1104482488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE S ROMINE CREDENTIALED NURSE
Provider Business Mailing Address
First Line : 500 DYER ST
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-5300
Country : US
Telephone Number : 805-938-8932
Fax Number : 805-938-8941
Provider Business Practice Location Address
First Line : 500 DYER ST
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-5300
Country : US
Telephone Number : 805-938-8932
Fax Number : 805-938-8941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2019
Last Update Date : 05/13/2019

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Directions to “ MRS. MICHELLE S ROMINE CREDENTIALED NURSE” Practice Location

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