MEDICARE: CONNIE MARIE MAY ARNP

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
1	363LF0000X	Family Nurse Practitioner	20423A	SC
2	363L00000X	Nurse Practitioner	ARNP3286162	FL
3	363LF0000X	Family Nurse Practitioner	F341491-01	NY
4	363LF0000X	Family Nurse Practitioner	11192	CT
5	363LF0000X	Family Nurse Practitioner	3011083	KY
6	363LF0000X	Family Nurse Practitioner	261092	GA
7	363LF0000X	Family Nurse Practitioner	101.0137211	VT
8	363LF0000X	Family Nurse Practitioner	4704327045	MI
9	363LF0000X	Family Nurse Practitioner	501005	NC
10	363LF0000X	Family Nurse Practitioner	AC003112	MD
11	363LF0000X	Family Nurse Practitioner	0024174251	VA
12	363LF0000X	Family Nurse Practitioner	0000022138	TN
13	363LF0000X	Family Nurse Practitioner	241444	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000022138	OTHER	TN	APRN
2	4704327045	OTHER	MI	APRN
3	241444	OTHER	ME	APRN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	F341491-01	OTHER	NY	APRN
6	11192	OTHER	CT	APRN
7	261092	OTHER	GA	APRN
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225073844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE MARIE MAY ARNP

Provider Business Mailing Address
First Line	:	1164 45TH AVE NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33703-5248
Country	:	US
Telephone Number	:	727-430-0156
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 PAYNE PKWY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34237-7018
Country	:	US
Telephone Number	:	941-893-2556
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	09/13/2024

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Directions to “ CONNIE MARIE MAY ARNP” Practice Location

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