Provider Demographics
NPI:1801643457
Name:ROMERO VARGAS, DANIELA (MSN, RN, CNM)
Entity type:Individual
Prefix:MS
First Name:DANIELA
Middle Name:
Last Name:ROMERO VARGAS
Suffix:
Gender:F
Credentials:MSN, RN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-2785
Mailing Address - Country:US
Mailing Address - Phone:734-649-7765
Mailing Address - Fax:
Practice Address - Street 1:1200 SIXTH ST STE 400
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2369
Practice Address - Country:US
Practice Address - Phone:231-392-0650
Practice Address - Fax:231-391-0665
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704403671176B00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse