Provider Demographics
NPI:1467640714
Name:ROMER, BELINDA GAIL (RN, NP)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:GAIL
Last Name:ROMER
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 S LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-3704
Mailing Address - Country:US
Mailing Address - Phone:931-762-7232
Mailing Address - Fax:931-762-7232
Practice Address - Street 1:129 S LOCUST AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-3704
Practice Address - Country:US
Practice Address - Phone:931-762-7232
Practice Address - Fax:931-762-7232
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000161405163W00000X
TN19057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse