Healthcare Provider Details

I. General information

NPI: 1467360677
Provider Name (Legal Business Name): SYDNI LARRIVIERE ROMERO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 COOLIDGE BLVD
LAFAYETTE LA
70503-2621
US

IV. Provider business mailing address

592 EVEREST RD
CHURCH POINT LA
70525-4820
US

V. Phone/Fax

Practice location:
  • Phone: 337-289-7226
  • Fax:
Mailing address:
  • Phone: 337-315-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number214682
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: