Provider Demographics
NPI:1447329602
Name:ROMERO, CHRISTINA M (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:ROMERO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHRISTIANA
Other - Middle Name:MARIE
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8088 CHINKAPIN CT
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-7187
Mailing Address - Country:US
Mailing Address - Phone:423-596-5969
Mailing Address - Fax:
Practice Address - Street 1:8088 CHINKAPIN CT
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-7187
Practice Address - Country:US
Practice Address - Phone:423-596-5969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN178075367500000X
AL1-102022367500000X
TN12645367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered