Provider Demographics
NPI:1497929889
Name:ROMO, ROSALIE CAROL (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:CAROL
Last Name:ROMO
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 GUANTE CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1617
Mailing Address - Country:US
Mailing Address - Phone:805-683-1107
Mailing Address - Fax:805-683-1679
Practice Address - Street 1:2400 BATH ST
Practice Address - Street 2:SUITE202
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4351
Practice Address - Country:US
Practice Address - Phone:805-687-3744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150728163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant