Basic Information
Provider Information
NPI: 1245270214
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMINGER
FirstName: YVONNE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: RN CFNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 721 W 13TH ST
Address2: STE 321
City: JASPER
State: IN
PostalCode: 47546
CountryCode: US
TelephoneNumber: 8124827918
FaxNumber: 8126341644
Practice Location
Address1: 721 W 13TH ST
Address2: STE 321
City: JASPER
State: IN
PostalCode: 47546
CountryCode: US
TelephoneNumber: 8129967918
FaxNumber: 8129961644
Other Information
ProviderEnumerationDate: 06/07/2006
LastUpdateDate: 02/13/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X71000643AINY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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