Individual
MRS. SUSAN N ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-3439
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-3439
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
60871
ID
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP3961
AZ
363LP2300X
Primary Care Nurse Practitioner
AP1953
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546002
—
AZ
Enumeration date
05/27/2010
Last updated
11/06/2024
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