| Doctor Name: | TERESA ROMANO |
| NPI Number: | 1770769523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MN, CCNS |
| License Number: | R870928 |
| Business Practice Address: | 8952 Anahola Pl Diamondhead, MS - 395253601 |
| Business Phone Number: | 2285860040 |
| Business Fax Number: | |
| Mailing Address: | 8952 Anahola Pl, DIAMONDHEAD |
| State: | MS |
| Postal Code: | 395253601 |
| Phone Number: | 2285860040 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2008 |
| NPI Last Update Date: | 01/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0800X |
| License Number: | R870928 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neuroscience |
| Taxonomy Definition: | |