Provider Demographics
NPI:1588800684
Name:CARHUAPOMA, LOURDES ROMERO (CRNP)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:ROMERO
Last Name:CARHUAPOMA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LOURDES
Other - Middle Name:ROMERO
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:MEYER 8-140
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-955-2611
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:MEYER 8-140
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-21
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR179549363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care