Provider Demographics
NPI:1609214584
Name:ROMANO, LAURA (FPMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:FPMHNP-BC
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:STABILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 GLENWOOD TER
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-1339
Mailing Address - Country:US
Mailing Address - Phone:732-939-4169
Mailing Address - Fax:
Practice Address - Street 1:100 HORIZON CENTER BLVD STE 117
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-1910
Practice Address - Country:US
Practice Address - Phone:848-244-1650
Practice Address - Fax:732-377-7773
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00440600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health