Healthcare Provider Details

I. General information

NPI: 1780046474
Provider Name (Legal Business Name): SHARI LYNN LONG ROMERO DNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 10/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7355 E ORCHARD RD STE 350
GREENWOOD VILLAGE CO
80111-2568
US

IV. Provider business mailing address

1511 SPRING WATER WAY
HIGHLANDS RANCH CO
80129-5431
US

V. Phone/Fax

Practice location:
  • Phone: 307-256-8116
  • Fax:
Mailing address:
  • Phone: 307-256-8116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0992163-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: