Provider Demographics
NPI:1740071026
Name:ROMERO, TAYLOR MAE (FNP-BC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MAE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 BAKMAN AVE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4269
Mailing Address - Country:US
Mailing Address - Phone:805-558-4565
Mailing Address - Fax:
Practice Address - Street 1:6400 LAUREL CANYON BLVD STE 550
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1563
Practice Address - Country:US
Practice Address - Phone:818-308-4919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily