Provider Demographics
NPI:1326693086
Name:TRAYNHAM, MARGARET ALICE (CNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ALICE
Last Name:TRAYNHAM
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GROVE ST STE 210
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2630
Mailing Address - Country:US
Mailing Address - Phone:508-556-1072
Mailing Address - Fax:508-318-8037
Practice Address - Street 1:100 GROVE ST STE 210
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2630
Practice Address - Country:US
Practice Address - Phone:508-556-1072
Practice Address - Fax:508-318-8037
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2290553363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner