Provider Demographics
NPI:1790392207
Name:ROYER, ROLANDA A
Entity Type:Individual
Prefix:
First Name:ROLANDA
Middle Name:A
Last Name:ROYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 SCOTT DR
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-9477
Mailing Address - Country:US
Mailing Address - Phone:330-407-6851
Mailing Address - Fax:
Practice Address - Street 1:151 SCOTT DR
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-9477
Practice Address - Country:US
Practice Address - Phone:330-407-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide