Provider Demographics
NPI:1104709252
Name:ROMERO, ALEXANDRA NIKOLE
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NIKOLE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 W RICHARDSON AVE
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88210-1860
Mailing Address - Country:US
Mailing Address - Phone:505-362-5011
Mailing Address - Fax:
Practice Address - Street 1:301 BULLDOG BLVD
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-1899
Practice Address - Country:US
Practice Address - Phone:575-746-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2025-07761041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool