Provider Demographics
NPI:1932932829
Name:RAYMEX WELLNESS LLC
Entity type:Organization
Organization Name:RAYMEX WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC MENTAL HEALTH NURSE PRA
Authorized Official - Prefix:MR
Authorized Official - First Name:NNEMEKA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OKPALA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:617-922-4626
Mailing Address - Street 1:33 HOLMAN ST APT A
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3033
Mailing Address - Country:US
Mailing Address - Phone:617-922-4626
Mailing Address - Fax:
Practice Address - Street 1:287 WASHINGTON ST STE 61036
Practice Address - Street 2:
Practice Address - City:SOUTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-5537
Practice Address - Country:US
Practice Address - Phone:617-922-4626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty