Provider Demographics
NPI:1194955252
Name:ROMERO, CAROLYN EILEEN (RN)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:EILEEN
Last Name:ROMERO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 COPPERHEAD CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2299
Mailing Address - Country:US
Mailing Address - Phone:505-839-8283
Mailing Address - Fax:505-291-2133
Practice Address - Street 1:900 COPPERHEAD CT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2299
Practice Address - Country:US
Practice Address - Phone:505-839-8283
Practice Address - Fax:505-291-2133
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR51865163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR51865OtherNEW MEXICO NURSE'S LICENSE