Provider Demographics
NPI:1285203117
Name:ROYSTER, SHAKITA RENEE (DOULA)
Entity Type:Individual
Prefix:
First Name:SHAKITA
Middle Name:RENEE
Last Name:ROYSTER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 ENDURING FREEDOM DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5594
Mailing Address - Country:US
Mailing Address - Phone:984-302-4999
Mailing Address - Fax:
Practice Address - Street 1:3621 ENDURING FREEDOM DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5594
Practice Address - Country:US
Practice Address - Phone:984-302-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist