Provider Demographics
NPI:1053645184
Name:GIESEMAN, ROMINA P (RN, MSN, APN)
Entity Type:Individual
Prefix:MRS
First Name:ROMINA
Middle Name:P
Last Name:GIESEMAN
Suffix:
Gender:F
Credentials:RN, MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 E MARKET ST UNIT 2708
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2671
Mailing Address - Country:US
Mailing Address - Phone:630-561-1131
Mailing Address - Fax:
Practice Address - Street 1:1102 BARCLAY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-7161
Practice Address - Country:US
Practice Address - Phone:210-233-7000
Practice Address - Fax:210-591-1024
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007614363LP0200X
TXAP111909363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209007614OtherILLINOIS PROFESSIONAL LICENSE