Individual
MR. CLINT P ROYSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., M.S.N.
Contact information
Practice address
6200 AURORA AVE, STE 401E, URBANDALE, IA 50322-2800
(515) 331-0303
(515) 331-9086
Mailing address
6200 AURORA AVE, STE 401E, URBANDALE, IA 50322-2800
(515) 331-0303
(515) 331-9086
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-116306
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10658701
—
IA
Enumeration date
11/02/2006
Last updated
06/21/2014
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