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NPI Code Detail

MEDICARE: ELIZABETH ROMO

MEDICARE: ELIZABETH ROMO
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
1163W00000XRegistered NurseRN-89847NM

General Provider Information

NPI Number : 1508709056
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ROMO
Provider Business Mailing Address
First Line : 4590 VERMEJO DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-5110
Country : US
Telephone Number : 575-650-5220
Fax Number :
Provider Business Practice Location Address
First Line : 4590 VERMEJO DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-5110
Country : US
Telephone Number : 575-650-5220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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