Healthcare Provider Details

I. General information

NPI: 1184364200
Provider Name (Legal Business Name): NATALIE MAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USS ANCHORAGE (LPD-23) 3455 SENN ROAD
SAN DIEGO CA
92136-1098
US

IV. Provider business mailing address

1646 CAMERON DR
LEMON GROVE CA
91945-4430
US

V. Phone/Fax

Practice location:
  • Phone: 719-963-0494
  • Fax:
Mailing address:
  • Phone: 719-963-0494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101279642
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: