Individual
MARISSA D ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102
(505) 841-1000
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01324
NM
363LF0000X
Family Nurse Practitioner
R55046
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47722061
—
NM
Enumeration date
07/30/2007
Last updated
08/21/2019
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