Provider Demographics
NPI:1508045832
Name:MAY, LEOLA MICHELLE (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:LEOLA
Middle Name:MICHELLE
Last Name:MAY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 SUMNER ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-2168
Mailing Address - Country:US
Mailing Address - Phone:330-329-7622
Mailing Address - Fax:
Practice Address - Street 1:814 SUMNER ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-2168
Practice Address - Country:US
Practice Address - Phone:330-329-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH318993163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation