Healthcare Provider Details

I. General information

NPI: 1205955960
Provider Name (Legal Business Name): HELEN B. MAY A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W FAIRVIEW AVE
EDDYVILLE KY
42038-8259
US

IV. Provider business mailing address

PO BOX 595
EDDYVILLE KY
42038-0595
US

V. Phone/Fax

Practice location:
  • Phone: 270-388-5454
  • Fax: 270-388-5452
Mailing address:
  • Phone: 270-388-5454
  • Fax: 270-388-5452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3002680
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: