Individual
MAUREEN E. TRAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-6900
(215) 214-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13007200
NJ
163W00000X
Registered Nurse
RN563515
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
083526
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083526
CRNA ID
PA
01
—
168161
MEDICARE
PA
Enumeration date
12/02/2009
Last updated
10/23/2014
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