Provider Demographics
NPI:1477614568
Name:ROMERO, MARIA CRISELDA (APN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CRISELDA
Last Name:ROMERO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-2706
Mailing Address - Country:US
Mailing Address - Phone:908-285-1859
Mailing Address - Fax:
Practice Address - Street 1:23 BROOK RD
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:NJ
Practice Address - Zip Code:07421-2706
Practice Address - Country:US
Practice Address - Phone:908-285-1859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11205000163W00000X
NJ26NJ00084600363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ113761V07Medicare PIN