Healthcare Provider Details

I. General information

NPI: 1477614568
Provider Name (Legal Business Name): MARIA CRISELDA ROMERO APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 04/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 BROOK RD
HEWITT NJ
07421-2706
US

IV. Provider business mailing address

23 BROOK RD
HEWITT NJ
07421-2706
US

V. Phone/Fax

Practice location:
  • Phone: 908-285-1859
  • Fax:
Mailing address:
  • Phone: 908-285-1859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NO11205000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00084600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: