1427383397 NPI number — MRS. ALICE C. MAY CNM

Table of content: MRS. ALICE C. MAY CNM (NPI 1427383397)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427383397 NPI number — MRS. ALICE C. MAY CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAY
Provider First Name:
ALICE
Provider Middle Name:
C.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427383397
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1015 DUFF AVE
Provider Second Line Business Mailing Address:
PO BOX 3014
Provider Business Mailing Address City Name:
AMES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50010-5733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-239-4414
Provider Business Mailing Address Fax Number:
515-239-4786

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1015 DUFF AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50010-5733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-239-4414
Provider Business Practice Location Address Fax Number:
515-239-4786
Provider Enumeration Date:
10/12/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  B123515 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12923 . This is a "AMERICAN MIDWIFERY CERTIFICATION BOARD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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