MEDICARE: MARIA CRISELDA ROMERO APN

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	163W00000X	Registered Nurse	26NO11205000	NJ
2	363LA2100X	Acute Care Nurse Practitioner	26NJ00084600	NJ

General Provider Information

NPI Number	:	1477614568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CRISELDA ROMERO APN

Provider Business Mailing Address
First Line	:	23 BROOK RD
Second Line	:
City	:	HEWITT
State	:	NJ
Zip	:	07421-2706
Country	:	US
Telephone Number	:	908-285-1859
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 BROOK RD
Second Line	:
City	:	HEWITT
State	:	NJ
Zip	:	07421-2706
Country	:	US
Telephone Number	:	908-285-1859
Fax Number	:

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	04/06/2015

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