Tyda S Rom Keo, LPN
Licensed Practical Nurse in Somerville, Massachusetts
1245052265- Practice location
- 401 Highland Ave, Somerville, MA 02144-2516
- Phone
- 833-510-4357
- Fax
- —
- Last updated
- October 30, 2024
Tyda Saroeung Rom Keo is a Licensed Practical Nurse based in Somerville, MA. Tyda Saroeung Rom Keo practices in Somerville, MA and has the professional credentials of LPN. The NPI Number for Tyda Saroeung Rom Keo is 1245052265 and holds a License No. LN100116 (MA). The current practice location address for Tyda Saroeung Rom Keo is 401 Highland Ave, Somerville, MA 02144-2516 and can be reached out via phone at 833-510-4357.
Provider Profile Details
- NPI Number
- 1245052265
- Provider Name
- Tyda Saroeung Rom Keo
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 401 Highland Ave, Somerville, MA 02144-2516
- Phone Number
- 833-510-4357
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Other Names
- Saroeung Rom (Former Name)
- Provider Enumeration Date
- October 30, 2024
- Last Update Date
- October 30, 2024
- Certification Date
- October 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401 Highland Ave
Somerville, MA 02144-2516 - City
- Somerville
- State
- Massachusetts
- Zip
- 02144-2516
- Phone Number
- 833-510-4357
Provider Business Mailing Address Details
- Address
- 4600 Montgomery RD Ste 400
Cincinnati, OH 45212-2600 - City
- Cincinnati
- State
- OH
- Zip
- 45212-2600
License Information
- License Number
- LN100116
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tyda S Rom Keo, LPN?
The NPI number of Tyda S Rom Keo, LPN is 1245052265. It was assigned on October 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Tyda S Rom Keo, LPN?
Tyda S Rom Keo, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN100116.
Where does Tyda S Rom Keo, LPN practice?
The practice location is 401 Highland Ave, Somerville, MA 02144-2516. The office can be reached at 833-510-4357 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245052265 directly on the NPPES registry website.