Provider Demographics
NPI:1124540778
Name:MAY, DENISE M
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:M
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:N6753 COUNTY ROAD X
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:WI
Mailing Address - Zip Code:53502-9336
Mailing Address - Country:US
Mailing Address - Phone:608-447-1076
Mailing Address - Fax:
Practice Address - Street 1:N6753 COUNTY ROAD X
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:WI
Practice Address - Zip Code:53502-9336
Practice Address - Country:US
Practice Address - Phone:608-447-1076
Practice Address - Fax:608-447-1076
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI229789-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse