Healthcare Provider Details

I. General information

NPI: 1568695328
Provider Name (Legal Business Name): DEBRA ROYSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 N CHURCH ST
BURLINGTON NC
27217-3000
US

IV. Provider business mailing address

1407 COLLINS DR
BURLINGTON NC
27215-6408
US

V. Phone/Fax

Practice location:
  • Phone: 919-599-0045
  • Fax:
Mailing address:
  • Phone: 919-599-0045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: