Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0001252880 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0024177760 | VA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024177760 | VA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 0024177760 | VA |
NPI | 1023676798 |
---|---|
Provider Name | Mandee May |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-2446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2019 |
Last Update Date | 29/07/2021 |