Individual
TANA SHEA ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5332
Mailing address
3809 COMPUTER DR STE 100, RALEIGH, NC 27609-6518
(919) 781-9078
(919) 719-0147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006924
NC
Other
Enumeration date
06/12/2014
Last updated
02/06/2019
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