Provider Demographics
NPI:1851060800
Name:ROYSE, ELIZABETH FROMHOLD (RN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:FROMHOLD
Last Name:ROYSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2753 ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2204
Mailing Address - Country:US
Mailing Address - Phone:513-246-8000
Mailing Address - Fax:513-871-2824
Practice Address - Street 1:2753 ERIE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2204
Practice Address - Country:US
Practice Address - Phone:513-246-8000
Practice Address - Fax:513-871-2824
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-12
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-180830163W00000X
OHAPRN.CNP.0035028363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse