Provider Demographics
NPI:1851883193
Name:SALEMME, RAYNA P (MA, BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:RAYNA
Middle Name:P
Last Name:SALEMME
Suffix:
Gender:F
Credentials:MA, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PEACHTREE LN
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-5456
Mailing Address - Country:US
Mailing Address - Phone:203-231-1619
Mailing Address - Fax:203-944-0082
Practice Address - Street 1:19 PEACHTREE LN
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-5456
Practice Address - Country:US
Practice Address - Phone:203-231-1619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-02
Last Update Date:2018-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE47212163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse