Provider Demographics
NPI:1841041662
Name:ROMANCHEK, NANCY ANN (MPH, BSN, RN-C, CHPN)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:ROMANCHEK
Suffix:
Gender:F
Credentials:MPH, BSN, RN-C, CHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 782
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-0782
Mailing Address - Country:US
Mailing Address - Phone:847-239-4077
Mailing Address - Fax:
Practice Address - Street 1:51 CAMBRIDGE LN
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-3104
Practice Address - Country:US
Practice Address - Phone:847-239-4077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.225404163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health