Provider Demographics
NPI:1710499256
Name:MAY, MASHANDA ELEAH (FNP)
Entity Type:Individual
Prefix:
First Name:MASHANDA
Middle Name:ELEAH
Last Name:MAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 ANDREWS HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-5132
Mailing Address - Country:US
Mailing Address - Phone:432-704-2700
Mailing Address - Fax:432-704-1250
Practice Address - Street 1:3403 ANDREWS HWY STE 100
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-5132
Practice Address - Country:US
Practice Address - Phone:432-704-2700
Practice Address - Fax:432-704-1250
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135343363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily