Provider Demographics
NPI:1316720105
Name:ROYAL NURSING & TRAINING INSTITUTE
Entity type:Organization
Organization Name:ROYAL NURSING & TRAINING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN
Authorized Official - Phone:347-791-9145
Mailing Address - Street 1:3863 HIGHWAY 138 SE UNIT 35
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-4143
Mailing Address - Country:US
Mailing Address - Phone:347-791-9145
Mailing Address - Fax:
Practice Address - Street 1:3863 HIGHWAY 138 SE UNIT 35
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4143
Practice Address - Country:US
Practice Address - Phone:347-791-9145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty