Provider Demographics
NPI:1588937411
Name:MAY, BARBARA JEANNE (LVN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEANNE
Last Name:MAY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JEANNE
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38275 KIRBY RD
Mailing Address - Street 2:
Mailing Address - City:ANZA
Mailing Address - State:CA
Mailing Address - Zip Code:92539-9712
Mailing Address - Country:US
Mailing Address - Phone:760-217-8434
Mailing Address - Fax:951-763-9551
Practice Address - Street 1:38275 KIRBY RD
Practice Address - Street 2:
Practice Address - City:ANZA
Practice Address - State:CA
Practice Address - Zip Code:92539-9712
Practice Address - Country:US
Practice Address - Phone:760-217-8434
Practice Address - Fax:951-763-9551
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN61677164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse