Provider Demographics
NPI:1255176566
Name:ROYER, CAROLE LYNNE (RN, NP)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:LYNNE
Last Name:ROYER
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7476 ROOSES WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-5484
Mailing Address - Country:US
Mailing Address - Phone:317-965-9029
Mailing Address - Fax:
Practice Address - Street 1:7476 ROOSES WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-5484
Practice Address - Country:US
Practice Address - Phone:317-965-9029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28108121A363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care