Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 200152 | NC |
NPI | 1831230457 |
---|---|
Provider Name | Rosemary Thomas Royce |
First Address | Murfreesboro, NC 27855-9301 |
Second Address | Jackson, NC 27845-9679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2F0000020 | (05) | NC |