Individual
MRS. ANITA VANN ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 592-8511
(910) 590-8761
Mailing address
500 BUTLER DR, CLINTON, NC 28328-2812
(910) 592-3837
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
045156
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050402
—
NC
Enumeration date
02/02/2007
Last updated
07/08/2007
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