MRS. PAMELA VANTRICE ROYSTON MO HEALTH NET PROVID NPI 1649742842

NPI Information

NPI: 1649742842
Provider Name: MRS. PAMELA VANTRICE ROYSTON, MO HEALTH NET PROVID
Classification: Clinic/Center - 261QA0600X
Entity Type: Individual

Specialization: Adult Day Care

Address:
11581 W FLORISSANT AVE
FLORISSANT, MO
ZIP 63033
Phone: (314) 664-5155
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MRS. Pamela Vantrice Royston, MO HEALTH NET PROVID is an adult day care clinic center in Florissant, MO. MRS. Pamela Vantrice Royston, MO HEALTH NET PROVID NPI is 1649742842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11581 W FLORISSANT AVE
FLORISSANT, MO
ZIP 63033-740
Phone: (314) 664-5155
Fax: (866) 255-9006

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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