Provider Demographics
NPI:1386686350
Name:RICHARD, ROMONA HARRISON (MSN APRN-BC)
Entity Type:Individual
Prefix:
First Name:ROMONA
Middle Name:HARRISON
Last Name:RICHARD
Suffix:
Gender:F
Credentials:MSN APRN-BC
Other - Prefix:
Other - First Name:ROMONA
Other - Middle Name:DELL
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6510 FOLSOM DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7274
Mailing Address - Country:US
Mailing Address - Phone:409-832-6545
Mailing Address - Fax:
Practice Address - Street 1:6510 FOLSOM DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7274
Practice Address - Country:US
Practice Address - Phone:409-832-6545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX583808363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health