Provider Demographics
NPI:1407260722
Name:ROMANO, CHRISTINE J (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:J
Last Name:ROMANO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 S REGATTA DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-6944
Mailing Address - Country:US
Mailing Address - Phone:925-639-2064
Mailing Address - Fax:
Practice Address - Street 1:754 S REGATTA DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-6944
Practice Address - Country:US
Practice Address - Phone:925-639-2064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily