MEDICARE: MMASAYO TURAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	61642848	WA

General Provider Information

NPI Number	:	1740090661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MMASAYO TURAY

Provider Business Mailing Address
First Line	:	8045 REMINGTON HEIGHTS DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-9313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8045 REMINGTON HEIGHTS DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-9313
Country	:	US
Telephone Number	:	301-785-5910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/13/2025

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Directions to “ MMASAYO TURAY ” Practice Location

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