Individual
SALLY ANNE ROYSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
292 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 663-3737
(419) 663-5096
Mailing address
1031 PIERCE ST, CREDENTIALING DEPT, SANDUSKY, OH 44870-4669
(419) 557-5568
(419) 557-5542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN201627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068732
—
OH
Enumeration date
10/03/2007
Last updated
09/28/2016
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