Healthcare Provider Details

I. General information

NPI: 1134037047
Provider Name (Legal Business Name): STEPHEN JOHN ROMITZ BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 FAIRGROVE CHURCH RD
HICKORY NC
28602-9617
US

IV. Provider business mailing address

810 FAIRGROVE CHURCH RD
HICKORY NC
28602-9617
US

V. Phone/Fax

Practice location:
  • Phone: 828-326-3944
  • Fax: 828-732-7322
Mailing address:
  • Phone: 828-326-3944
  • Fax: 828-732-7322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number254072
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: