Basic Information
Provider Information
NPI: 1255884367
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMANO
FirstName: HANNAH
MiddleName: GAEBLER
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2025 BIGHORN RD
Address2:  
City: FORT COLLINS
State: CO
PostalCode: 805253480
CountryCode: US
TelephoneNumber: 9702299800
FaxNumber: 9702291421
Practice Location
Address1: 2025 BIGHORN RD
Address2:  
City: FORT COLLINS
State: CO
PostalCode: 805253480
CountryCode: US
TelephoneNumber: 9702299800
FaxNumber: 9702291421
Other Information
ProviderEnumerationDate: 07/26/2016
LastUpdateDate: 10/07/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XC-APN.0001486-C-NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home