Healthcare Provider Details

I. General information

NPI: 1538409420
Provider Name (Legal Business Name): LORI ANN MARGARET ROMERO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 04/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 UPTOWN BLVD NE SUITE 385W
ALBUQUERQUE NM
87110-4204
US

IV. Provider business mailing address

6400 UPTOWN BLVD NE SUITE 385W
ALBUQUERQUE NM
87110-4204
US

V. Phone/Fax

Practice location:
  • Phone: 505-855-9842
  • Fax:
Mailing address:
  • Phone: 505-855-9842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR47165
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-02141
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: