Provider Demographics
NPI:1275252199
Name:MAY, BYRON NICHOLAS (NP)
Entity Type:Individual
Prefix:MR
First Name:BYRON
Middle Name:NICHOLAS
Last Name:MAY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:MR
Other - First Name:BYRON
Other - Middle Name:NICHOLAS
Other - Last Name:HOLYOKE-MAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:4923 OGLETOWN STANTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-6005
Mailing Address - Country:US
Mailing Address - Phone:302-225-0451
Mailing Address - Fax:
Practice Address - Street 1:4923 OGLETOWN STANTON RD STE 200
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-6005
Practice Address - Country:US
Practice Address - Phone:302-225-0451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012014363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily