Provider Demographics
NPI:1538461819
Name:ROMERO, YVETTE KRISTEN (LVN)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:KRISTEN
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3170 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-2412
Mailing Address - Country:US
Mailing Address - Phone:951-334-1269
Mailing Address - Fax:
Practice Address - Street 1:3170 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-2412
Practice Address - Country:US
Practice Address - Phone:951-334-1269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN239212164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse