Healthcare Provider Details

I. General information

NPI: 1629539317
Provider Name (Legal Business Name): VERONICA RODRIGUEZ-ROMERO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3560 SOUTH POINTE 101
LAUGHLIN NV
89029
US

IV. Provider business mailing address

PO BOX 814
HIGLEY AZ
85236-0814
US

V. Phone/Fax

Practice location:
  • Phone: 702-299-4252
  • Fax:
Mailing address:
  • Phone: 602-403-4036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number223720
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: