Individual provider · NPI-1

Nicole Breann Romig

Rehabilitation Practitioner · Mountain View, CA

NPI number1417654468
StatusActive
Last updated in NPPESJan 7, 2026

Details

NPI
1417654468
Entity type
Individual (NPI-1)
Name
Nicole Breann Romig
Sex
Female
Sole proprietor
No
Enumeration date
Feb 9, 2023
Certification date
Jan 7, 2026
Last updated
Jan 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

1503 Grant Rd
Mountain View, CA 94040-3292

Phone 650-484-1213 · Fax 650-484-1296

Mailing address

1503 Grant Rd Ste 110
Mountain View, CA 94040-3270

Phone 408-261-7777 · Fax 408-642-6052

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