Provider Demographics
NPI:1437833019
Name:TRAINOR, SALMA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:TRAINOR
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 PATRICK RD
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-4701
Mailing Address - Country:US
Mailing Address - Phone:857-222-4262
Mailing Address - Fax:
Practice Address - Street 1:10 CHESTNUT DR UNIT M
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5555
Practice Address - Country:US
Practice Address - Phone:617-600-4506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2258824163WP0808X
NH069490-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health