Provider Demographics
NPI:1689783201
Name:ROMERO, ELIZABETH ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5100 JUAN TABO BLVD NE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2692
Mailing Address - Country:US
Mailing Address - Phone:505-504-1027
Mailing Address - Fax:
Practice Address - Street 1:5100 JUAN TABO BLVD NE
Practice Address - Street 2:SUITE 105
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2692
Practice Address - Country:US
Practice Address - Phone:505-504-1027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2023-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM2003-00782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry