| Doctor Name: | AMY LYN ROYAL |
| NPI Number: | 1003007253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 311983-3102 |
| Business Practice Address: | 151 N Main St Tooele, UT - 840742141 |
| Business Phone Number: | 4358432300 |
| Business Fax Number: | 4358432304 |
| Mailing Address: | 151 N Main St, TOOELE |
| State: | UT |
| Postal Code: | 840742141 |
| Phone Number: | 4358432300 |
| Fax Number: | 4358432304 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 311983-3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |