Individual
BLAINE ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD STE 340, PEORIA, AZ 85381-4846
(623) 876-3840
(623) 285-2602
Mailing address
13640 N PLAZA DEL RIO BLVD STE 340, PEORIA, AZ 85381-4846
(623) 876-3840
(623) 285-2602
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
237236
AZ
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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