Healthcare Provider Details

I. General information

NPI: 1699690735
Provider Name (Legal Business Name): LENA MARIE ROMEO APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15211 NE 72ND AVE
VANCOUVER WA
98686-1929
US

IV. Provider business mailing address

2326 14TH AVE N
ST PETERSBURG FL
33713-5834
US

V. Phone/Fax

Practice location:
  • Phone: 360-209-4449
  • Fax:
Mailing address:
  • Phone: 774-232-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10063459
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: