Provider Demographics
NPI:1134144751
Name:ROYSTON, KAREN H (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:H
Last Name:ROYSTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 HOOSICK ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2323
Mailing Address - Country:US
Mailing Address - Phone:518-274-4305
Mailing Address - Fax:518-271-1880
Practice Address - Street 1:137 HOOSICK ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2323
Practice Address - Country:US
Practice Address - Phone:518-274-4305
Practice Address - Fax:518-271-1880
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily