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NPI Code Detail

MEDICARE: WRAYMANDO TOWNSEND NP

MEDICARE: WRAYMANDO TOWNSEND NP
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
1163W00000XRegistered Nurse840167NY
2363LA2200XAdult Health Nurse Practitioner26NJ15515600NJ
3164W00000XLicensed Practical Nurse325599NY
4164X00000XLicensed Vocational Nurse331236TX

General Provider Information

NPI Number : 1043668346
Entity Type Code : Individual
Provider Name (Legal Business Name) : WRAYMANDO TOWNSEND NP
Provider Business Mailing Address
First Line : 2325 WARD DR
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2110
Country : US
Telephone Number : 347-780-7604
Fax Number :
Provider Business Practice Location Address
First Line : 265 ASHLAND PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1661
Country : US
Telephone Number : 718-858-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2016
Last Update Date : 03/05/2026

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