Provider Demographics
NPI:1568717585
Name:ROMERO, GERALDINE (ADN)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:ADN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10727 MCMICHAEL LN SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-3644
Mailing Address - Country:US
Mailing Address - Phone:505-429-7920
Mailing Address - Fax:
Practice Address - Street 1:2450 ALAMO SE
Practice Address - Street 2:
Practice Address - City:ALBUQERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-925-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR51744163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)