Doctor Name: | MRS. BETH JANINE ROMSA |
NPI Number: | 1023310984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 143511085 |
Business Practice Address: | 1277 N 15th St Laramie, WY - 820722343 |
Business Phone Number: | 3077422266 |
Business Fax Number: | 3077429905 |
Mailing Address: | 2920 Cottonwood Dr, LARAMIE |
State: | WY |
Postal Code: | 820707335 |
Phone Number: | 3077453460 |
Fax Number: | 3077453460 |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 11/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 143511085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |