Healthcare Provider Details
I. General information
NPI: 1518740513
Provider Name (Legal Business Name): MAUREEN ROYE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/15/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 S WASHINGTON ST STE B
GETTYSBURG PA
17325-2500
US
IV. Provider business mailing address
3421 CONCORD RD
YORK PA
17402-9001
US
V. Phone/Fax
- Phone: 717-337-4487
- Fax: 717-461-7149
- Phone: 717-337-4487
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN778347 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | MW010742 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: