Provider Demographics
NPI:1497087217
Name:ROMANELLI, EDNA (CNA)
Entity Type:Individual
Prefix:
First Name:EDNA
Middle Name:
Last Name:ROMANELLI
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1092 RADISSON CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-8902
Mailing Address - Country:US
Mailing Address - Phone:757-237-1520
Mailing Address - Fax:
Practice Address - Street 1:1092 RADISSON CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-8902
Practice Address - Country:US
Practice Address - Phone:757-237-1520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2010-237896-R374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide