Provider Demographics
NPI:1881003788
Name:ROMERO, ARIANA (LVN)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 S BRISTOL ST UNIT 4B
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6702
Mailing Address - Country:US
Mailing Address - Phone:714-585-8037
Mailing Address - Fax:
Practice Address - Street 1:3050 S BRISTOL ST UNIT 4B
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6702
Practice Address - Country:US
Practice Address - Phone:714-585-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN259627164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse