Provider Demographics
NPI:1265769004
Name:ROMERO, ARACELI (FNP)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8636 LUZ DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-2428
Mailing Address - Country:US
Mailing Address - Phone:432-413-2767
Mailing Address - Fax:
Practice Address - Street 1:223 S ABE ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6305
Practice Address - Country:US
Practice Address - Phone:325-659-1937
Practice Address - Fax:325-213-8243
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118518207QA0505X
TXF1009221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX372713301Medicaid