Healthcare Provider Details

I. General information

NPI: 1467681080
Provider Name (Legal Business Name): APRIL LYNNE ROYAN M.A. CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 IMMOKALEE RD SUITE 8
NAPLES FL
34110-1444
US

IV. Provider business mailing address

504 RAVEN WAY
NAPLES FL
34110-1166
US

V. Phone/Fax

Practice location:
  • Phone: 239-593-5327
  • Fax:
Mailing address:
  • Phone: 217-898-5793
  • Fax: 239-790-2649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1257
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAY1257
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberAY1257
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAY1257
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: