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NPI Code Detail

MEDICARE: MARIA ELENA ROMERO NURSE PRACTITIONER

MEDICARE: MARIA ELENA ROMERO NURSE PRACTITIONER
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
1363L00000XNurse PractitionerNPF364601CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NPF364601OTHERCANP FURNISHING

General Provider Information

NPI Number : 1649252842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ELENA ROMERO NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1512 FRUITRIDGE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-3034
Country : US
Telephone Number : 916-734-3424
Fax Number :
Provider Business Practice Location Address
First Line : 2221 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1418
Country : US
Telephone Number : 916-734-3424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 09/16/2008

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Directions to “ MARIA ELENA ROMERO NURSE PRACTITIONER” Practice Location

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