Individual
MS. STACEY ROMNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
520 MEDICAL CENTER DR STE 200, MEDFORD, OR 97504-4314
(541) 930-7222
(541) 930-7220
Mailing address
520 MEDICAL CENTER DR STE 200, MEDFORD, OR 97504-4314
(541) 930-7222
(541) 930-7220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
089006921N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212849
—
OR
Enumeration date
06/12/2006
Last updated
07/27/2021
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