Provider Demographics
NPI:1669045175
Name:ROMEO, ASHLEY (ARNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ROMEO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8076 NW 37TH RD
Mailing Address - Street 2:APT 374
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-0050
Mailing Address - Country:US
Mailing Address - Phone:386-302-2448
Mailing Address - Fax:
Practice Address - Street 1:8076 NW 37TH RD
Practice Address - Street 2:APT 374
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-0050
Practice Address - Country:US
Practice Address - Phone:386-302-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL202119892363LP2300X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care