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 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4123
Mailing Address - Fax:970-490-4173
Practice Address - Street 1:6080 N CAREFREE CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2402
Practice Address - Country:US
Practice Address - Phone:719-571-1088
Practice Address - Fax:719-571-1089
Is Sole Proprietor?:No
Enumeration Date:2021-12-18
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0997201-NP207Q00000X
COAPN.0997201-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine