Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 200250020NP ANP-PP | OR |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 200250019NP WHCNP-PP | OR |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 200250019NP WHCNP-PP | OR |
NPI | 1053354647 |
---|---|
Provider Name | Sunny L May |
First Address | Winchester, OR 97495-0568 |
Second Address | Roseburg, OR 97471-1516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 23/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000424 | (05) | OR |
P62193 | (02) |