MEDICARE: ARIELLA ROMERO FNP

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
1	363LF0000X	Family Nurse Practitioner	AP5751	AZ

General Provider Information

NPI Number	:	1285042341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIELLA ROMERO FNP

Provider Business Mailing Address
First Line	:	1238 W ORANGE GROVE RD STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-2950
Country	:	US
Telephone Number	:	520-297-9060
Fax Number	:

Provider Business Practice Location Address
First Line	:	1238 W ORANGE GROVE RD STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-2950
Country	:	US
Telephone Number	:	520-297-9060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2014
Last Update Date	:	11/27/2016

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