Healthcare Provider Details

I. General information

NPI: 1417564014
Provider Name (Legal Business Name): CARLEY MAY STRINGER AGACNP-BC, CVNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARLEY MAY MANN RN

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 6TH ST
LEWISTON ID
83501-2434
US

IV. Provider business mailing address

341 SAINT JOHNS WAY
LEWISTON ID
83501-2436
US

V. Phone/Fax

Practice location:
  • Phone: 208-750-7507
  • Fax:
Mailing address:
  • Phone: 208-750-7462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberNP-69466
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN60799308
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: