Basic Information
| Provider Information | |||||||||
| NPI: | 1043558711 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROMBA | ||||||||
| FirstName: | REBECCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2820 W 23RD ST | ||||||||
| Address2: | SUITE #8, EBCO PARK | ||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165062915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168386060 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2820 W 23RD ST | ||||||||
| Address2: | SUITE #8, EBCO PARK | ||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165062915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168386060 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2013 | ||||||||
| LastUpdateDate: | 01/30/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 261618 | PA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.