Provider Demographics
NPI:1487887444
Name:ROMERO, ROBERTA AURORA (PNP)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:AURORA
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:ROBERTA
Other - Middle Name:AURORA
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M/S MB.7.520
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-2599
Mailing Address - Fax:206-729-3070
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M/S MB.7.520
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2599
Practice Address - Fax:206-729-3070
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60513764363LP0200X
CANP19031363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics