Provider Demographics
NPI:1306965199
Name:ROYAL, ASHLEY CATHERINE (PA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CATHERINE
Last Name:ROYAL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 W CHATHAM ST
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3245
Mailing Address - Country:US
Mailing Address - Phone:919-606-9110
Mailing Address - Fax:
Practice Address - Street 1:323 W CHATHAM ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3245
Practice Address - Country:US
Practice Address - Phone:919-297-8682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-00771363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-00771OtherLICENSE
MR1582736OtherDEA NUMBER