Healthcare Provider Details

I. General information

NPI: 1891606760
Provider Name (Legal Business Name): BREANNA KAY ROMERO PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N LINCOLN AVE STE D2
YORK NE
68467-1743
US

IV. Provider business mailing address

511 N 9TH ST APT 13
SEWARD NE
68434-1763
US

V. Phone/Fax

Practice location:
  • Phone: 402-269-5663
  • Fax:
Mailing address:
  • Phone: 402-269-5663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number15114
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: