Individual
BO K. ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 BILLY MITCHELL DR, BARKSDALE AFB, LA 71110-2116
(202) 999-8013
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
238360
LA
363LF0000X
Family Nurse Practitioner
70388
NM
Other
Enumeration date
10/19/2022
Last updated
02/06/2025
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