Provider Demographics
NPI:1740095876
Name:TRAEYE, ALYSSA (CMA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:TRAEYE
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:MRS
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:TRAEYE-POWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA
Mailing Address - Street 1:1504 JAKE ALEXANDER BLVD W
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-1213
Mailing Address - Country:US
Mailing Address - Phone:704-645-8540
Mailing Address - Fax:704-645-9003
Practice Address - Street 1:1504 JAKE ALEXANDER BLVD W
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1213
Practice Address - Country:US
Practice Address - Phone:704-645-8540
Practice Address - Fax:704-645-9003
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy