Provider Demographics
NPI:1467259382
Name:DELEO, ROMA MARIE (APRN, CNP)
Entity type:Individual
Prefix:
First Name:ROMA
Middle Name:MARIE
Last Name:DELEO
Suffix:
Gender:
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5239 CAMDEN DR
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-5529
Mailing Address - Country:US
Mailing Address - Phone:330-842-9263
Mailing Address - Fax:
Practice Address - Street 1:88 CENTER RD STE 250A
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2711
Practice Address - Country:US
Practice Address - Phone:440-735-2804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0038380363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care