Provider Demographics
NPI:1003431933
Name:ROYER, EMILY GRACE (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GRACE
Last Name:ROYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:GRACE
Other - Last Name:ASPINALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:985575 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5575
Mailing Address - Country:US
Mailing Address - Phone:402-552-6074
Mailing Address - Fax:402-559-9232
Practice Address - Street 1:985575 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5575
Practice Address - Country:US
Practice Address - Phone:402-552-6074
Practice Address - Fax:402-559-9232
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8860390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program