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NPI Code Detail

MEDICARE: LISA RUTH MAY FNP-BC

MEDICARE:   LISA RUTH MAY  FNP-BC
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
1363LF0000XFamily Nurse Practitioner71013121AIN

General Provider Information

NPI Number : 1548984248
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA RUTH MAY FNP-BC
Provider Business Mailing Address
First Line : 11648 N ALCORN RD
Second Line :
City : CANAAN
State : IN
Zip : 47224-9700
Country : US
Telephone Number : 812-701-0345
Fax Number :
Provider Business Practice Location Address
First Line : 202 E MAPLE ST
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-3420
Country : US
Telephone Number : 317-220-6383
Fax Number : 317-458-1794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 08/21/2023

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Directions to “ LISA RUTH MAY FNP-BC” Practice Location

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