Healthcare Provider Details

I. General information

NPI: 1922837400
Provider Name (Legal Business Name): VANESSA ROMERO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 ANTILLES LN
SPRING HILL FL
34606-4506
US

IV. Provider business mailing address

1221 ANTILLES LN
SPRING HILL FL
34606-4506
US

V. Phone/Fax

Practice location:
  • Phone: 352-678-5246
  • Fax:
Mailing address:
  • Phone: 352-678-5246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024007774
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: