Provider Demographics
NPI:1871813246
Name:ROMO, RUTH E (FNP)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:E
Last Name:ROMO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:205 W BOUTZ RD
Mailing Address - Street 2:BLDG 1
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3259
Mailing Address - Country:US
Mailing Address - Phone:575-532-7000
Mailing Address - Fax:575-532-7006
Practice Address - Street 1:741 N ALAMEDA BLVD
Practice Address - Street 2:SUITE 14
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2194
Practice Address - Country:US
Practice Address - Phone:575-522-1100
Practice Address - Fax:575-522-0100
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMCNP-01626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily