Provider Demographics
NPI:1578211181
Name:TRAYLOR, FALASHA MONET (CNA)
Entity Type:Individual
Prefix:MS
First Name:FALASHA
Middle Name:MONET
Last Name:TRAYLOR
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHERIDAN RD
Mailing Address - Street 2:APT 408
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-2004
Mailing Address - Country:US
Mailing Address - Phone:564-202-3757
Mailing Address - Fax:
Practice Address - Street 1:100 SHERIDAN RD
Practice Address - Street 2:APT 408
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-2004
Practice Address - Country:US
Practice Address - Phone:564-202-3757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC60856589376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide