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Individual
SUSAN ROMEO
Active
Individual
SUSAN ROMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
380713
NY
363LP0200X
Pediatric Nurse Practitioner
F380713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6687718
NURSE PRACTITIONER IN PEDIATRICS, INACTIVE
NY
01
—
F380713
NEW YORK STATE LICENSE
NY
Enumeration date
08/21/2006
Last updated
04/24/2013
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