Provider Demographics
NPI:1376661264
Name:TRAYNHAM, PATRICIA F (RNC)
Entity Type:Individual
Prefix:MR
First Name:PATRICIA
Middle Name:F
Last Name:TRAYNHAM
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 E BLANCKE ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-2001
Mailing Address - Country:US
Mailing Address - Phone:908-925-3792
Mailing Address - Fax:
Practice Address - Street 1:NEW POINT CAMPUS
Practice Address - Street 2:655 EAST JERSEY AVENUE
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07206
Practice Address - Country:US
Practice Address - Phone:908-994-7583
Practice Address - Fax:908-994-7342
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR01618800163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health