Provider Demographics
NPI:1992438618
Name:ROMPRE, HOWARD J (FNP)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:J
Last Name:ROMPRE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512003
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33951-2003
Mailing Address - Country:US
Mailing Address - Phone:941-661-4683
Mailing Address - Fax:
Practice Address - Street 1:3550 NE HIGHWAY 70 LOT 270
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-5988
Practice Address - Country:US
Practice Address - Phone:941-661-4683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9402559163W00000X
FL539895146N00000X
FL11021151363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic