Royall, Mallory Mariya Ragan
Royall, Mallory Mariya Ragan is an individual health care provider with primary practice located at 200 Medical Park Dr Ste 430, Concord NC 28025-2982. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Royall, Mallory Mariya Ragan can be contacted via phone (704) 403-7070.Contact Information
Primary practice address
200 Medical Park Dr Ste 430
Concord NC 28025-2982
Phone: (704) 403-7070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5008788 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5008788 | North Carolina |
Profile Details
| NPI number | 1336692607 |
|---|---|
| LBN Legal business name | Royall, Mallory Mariya Ragan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2016 |
| Last updated | Jul 15th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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