MEDICARE: NATASHA ROMELE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1225997794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA ROMELE

Provider Business Mailing Address
First Line	:	4040 E MCDOWELL RD STE 411
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-4448
Country	:	US
Telephone Number	:	312-796-4884
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 E MCDOWELL RD STE 411
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-4448
Country	:	US
Telephone Number	:	312-796-4884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ NATASHA ROMELE ” Practice Location

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