Provider Demographics
NPI:1427297035
Name:MAY, TERRI ELLEN
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:ELLEN
Last Name:MAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 FREMONT ST UNIT 1613
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-9655
Mailing Address - Country:US
Mailing Address - Phone:775-560-8691
Mailing Address - Fax:
Practice Address - Street 1:1115 FREMONT ST UNIT 1613
Practice Address - Street 2:
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-9655
Practice Address - Country:US
Practice Address - Phone:775-560-8691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLPN18049164W00000X
CAVN217701164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse