MEDICARE: STEPHANIE JEANETTE ROMANO APRN

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	163WC1500X	Community Health Registered Nurse	RN61773	NV
2	363LF0000X	Family Nurse Practitioner	TAPRN701840	NV

General Provider Information

NPI Number	:	1457773772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE JEANETTE ROMANO APRN

Provider Business Mailing Address
First Line	:	280 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2936
Country	:	US
Telephone Number	:	702-759-0792
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2936
Country	:	US
Telephone Number	:	702-759-0792
Fax Number	:

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

Provider Enumeration Date	:	01/07/2014
Last Update Date	:	08/29/2023

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