Individual
MS. PATRICIA GAIL ROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1492 S MILL AVE, SUITE 306, TEMPE, AZ 85281-5652
(480) 559-4776
(480) 907-1686
Mailing address
1266 N AMBROSIA, MESA, AZ 85205-4353
(480) 654-3312
(480) 654-3312
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CM445
NM
364S00000X
Clinical Nurse Specialist
R23590
NM
367A00000X
Advanced Practice Midwife
Primary
AP2342
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11631036
CAQH
AZ
01
—
1995657
HEALTH CHOICE
AZ
05
—
9956547
—
AZ
05
—
995657
—
AZ
01
—
V995657.06
MARICOPA HEALTH PLAN
AZ
Enumeration date
05/27/2005
Last updated
04/02/2012
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