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Individual
ANN ROY
Active
Individual
ANN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1015492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F08200778
FNP CERTIFICATION
TX
Enumeration date
06/10/2021
Last updated
06/06/2024
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