Provider Demographics
NPI:1043446800
Name:MAYS, HOLLY FLANAGAN (CRNP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:FLANAGAN
Last Name:MAYS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 HENRY RD
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-6344
Mailing Address - Country:US
Mailing Address - Phone:256-241-2671
Mailing Address - Fax:
Practice Address - Street 1:3312 HENRY RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-6344
Practice Address - Country:US
Practice Address - Phone:256-241-2671
Practice Address - Fax:256-241-2676
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-109969363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL167148Medicaid
AL511-56902OtherBCBS OF ALABAMA
AL510-67465OtherBCBS
AL115319Medicaid
AL510-67464OtherBCBS
AL510-67479OtherBCBS