Provider Demographics
NPI:1689923252
Name:TURAY-KANNEH, SALAMATU ELSIE (CRNP)
Entity Type:Individual
Prefix:
First Name:SALAMATU
Middle Name:ELSIE
Last Name:TURAY-KANNEH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SALAMATU
Other - Middle Name:ELSIE
Other - Last Name:TURAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 DOE RUN DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2872
Mailing Address - Country:US
Mailing Address - Phone:267-258-2270
Mailing Address - Fax:
Practice Address - Street 1:8118 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1423
Practice Address - Country:US
Practice Address - Phone:213-331-0805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012292363LA2200X
PARN576318163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse