Provider Demographics
NPI:1285122721
Name:VIRREY, ROMEO ANDREW (FNP,APRN,MSN,BSN,RN)
Entity type:Individual
Prefix:MR
First Name:ROMEO
Middle Name:ANDREW
Last Name:VIRREY
Suffix:
Gender:M
Credentials:FNP,APRN,MSN,BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 CROSSROADS ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-2429
Mailing Address - Country:US
Mailing Address - Phone:619-370-1406
Mailing Address - Fax:
Practice Address - Street 1:1840 CROSSROADS ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-2429
Practice Address - Country:US
Practice Address - Phone:619-370-1406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily