Healthcare Provider Details

I. General information

NPI: 1881414761
Provider Name (Legal Business Name): ASHLEY LEAH ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W 13TH AVE APT 408
LAKEWOOD CO
80214-2188
US

IV. Provider business mailing address

6500 W 13TH AVE APT 408
LAKEWOOD CO
80214-2188
US

V. Phone/Fax

Practice location:
  • Phone: 303-585-0201
  • Fax:
Mailing address:
  • Phone: 303-585-0201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: