Provider Demographics
NPI:1770243768
Name:ROMERO, CHARLA (DNP FNP-C)
Entity type:Individual
Prefix:DR
First Name:CHARLA
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:DNP FNP-C
Other - Prefix:
Other - First Name:CHARLA
Other - Middle Name:
Other - Last Name:LYCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP FNP-C
Mailing Address - Street 1:PO BOX 780
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26507-0780
Mailing Address - Country:US
Mailing Address - Phone:304-285-7101
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-1200
Practice Address - Country:US
Practice Address - Phone:304-598-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-18
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0997201-NP207Q00000X
COAPN.0997201-NP363LF0000X
WV122881363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine