Provider Demographics
NPI:1306535364
Name:ROY, ANNE-CLAUDE MARIE BRIGITTE (APRN)
Entity type:Individual
Prefix:
First Name:ANNE-CLAUDE
Middle Name:MARIE BRIGITTE
Last Name:ROY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-6300
Mailing Address - Country:US
Mailing Address - Phone:407-988-6858
Mailing Address - Fax:
Practice Address - Street 1:500 UNION AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6317
Practice Address - Country:US
Practice Address - Phone:407-988-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11026066363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health