Provider Demographics
NPI:1225114309
Name:MAY, NINA J (NP)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:J
Last Name:MAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 BEECHMONT DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1839
Mailing Address - Country:US
Mailing Address - Phone:317-848-1374
Mailing Address - Fax:
Practice Address - Street 1:1020 E 86TH ST
Practice Address - Street 2:SUITE 24A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1867
Practice Address - Country:US
Practice Address - Phone:317-587-0815
Practice Address - Fax:317-574-7994
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000371A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN197330CMedicare ID - Type Unspecified