Healthcare Provider Details

I. General information

NPI: 1245536606
Provider Name (Legal Business Name): ROSILMA MARIE ROMERO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MAPLE ST
HOLYOKE MA
01040-5144
US

IV. Provider business mailing address

12 ADAMS ST
HOLYOKE MA
01040-5502
US

V. Phone/Fax

Practice location:
  • Phone: 413-420-2200
  • Fax: 413-536-9947
Mailing address:
  • Phone: 413-420-2200
  • Fax: 413-536-9947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN2265891
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: