Provider Demographics
NPI:1811684533
Name:MAY, DEBRA ELAINE (RN)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ELAINE
Last Name:MAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 E LINWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64128-2226
Mailing Address - Country:US
Mailing Address - Phone:816-861-4700
Mailing Address - Fax:
Practice Address - Street 1:40305 BEAVER CREEK RD
Practice Address - Street 2:
Practice Address - City:LA CYGNE
Practice Address - State:KS
Practice Address - Zip Code:66040-3009
Practice Address - Country:US
Practice Address - Phone:913-731-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-53850-091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse