Provider Demographics
NPI:1043264294
Name:MAY, CARMEN P (CRNP)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:P
Last Name:MAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 AIRPORT BLVD STE A101
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6767
Mailing Address - Country:US
Mailing Address - Phone:251-633-8880
Mailing Address - Fax:251-378-6222
Practice Address - Street 1:6701 AIRPORT BLVD STE A101
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6767
Practice Address - Country:US
Practice Address - Phone:251-633-8880
Practice Address - Fax:251-378-6222
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-045084363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305196000Medicaid
AL51507902OtherBLUE CROSS
AL51507906OtherBLUE CROSS
AL891003840Medicaid
AL891003850Medicaid
MS00125754Medicaid
FL305196000Medicaid
AL500025145Medicare ID - Type UnspecifiedRAILROAD PGBA
P58968Medicare UPIN