Individual
LYDIA L MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1301 W PARKS HWY STE 101, WASILLA, AK 99654-6939
(907) 357-7781
Mailing address
1301 W PARKS HWY STE 101, WASILLA, AK 99654-6939
(907) 357-7781
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
102672
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102672
ALASKA BOARD OF NURSING LICENSE
AK
05
—
1631831
—
AK
Enumeration date
09/15/2015
Last updated
08/11/2023
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