Provider Demographics
NPI:1760601884
Name:SIGNORE, RAYMOND S (RNFA)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:S
Last Name:SIGNORE
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:R.
Other - Middle Name:SAMUEL
Other - Last Name:SIGNORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNFA
Mailing Address - Street 1:PO BOX 405827
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-5827
Mailing Address - Country:US
Mailing Address - Phone:901-227-4068
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:6027 WALNUT GROVE ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120
Practice Address - Country:US
Practice Address - Phone:901-761-9155
Practice Address - Fax:901-683-3915
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000110900163WR0006X
TN110900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant