Provider Demographics
NPI:1881048106
Name:MAY, CAITLIN ANN (NP)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ANN
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 1:170 FERGUSON AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5012
Mailing Address - Country:US
Mailing Address - Phone:619-204-7455
Mailing Address - Fax:
Practice Address - Street 1:170 FERGUSON AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5012
Practice Address - Country:US
Practice Address - Phone:619-204-7455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004104363LF0000X
VT101.0135026363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily