Healthcare Provider Details

I. General information

NPI: 1932775590
Provider Name (Legal Business Name): NANCY ROMERO FERNANDEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14411 COMMERCE WAY STE 330 SUITE 330
MIAMI LAKES FL
33016-1577
US

IV. Provider business mailing address

14411 COMMERCE WAY
MIAMI LAKES FL
33016-1596
US

V. Phone/Fax

Practice location:
  • Phone: 305-450-9301
  • Fax: 786-435-0738
Mailing address:
  • Phone: 305-450-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11013460
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11013460
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: