Provider Demographics
NPI:1790100097
Name:SALERNO, RAYANE D (NP)
Entity Type:Individual
Prefix:MRS
First Name:RAYANE
Middle Name:D
Last Name:SALERNO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9A FOREST ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1501
Mailing Address - Country:US
Mailing Address - Phone:866-335-8461
Mailing Address - Fax:
Practice Address - Street 1:9A FOREST ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1501
Practice Address - Country:US
Practice Address - Phone:866-335-8461
Practice Address - Fax:888-718-4841
Is Sole Proprietor?:No
Enumeration Date:2014-02-23
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2284488363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily