Provider Demographics
NPI:1245746809
Name:MAYS, SHEILA ANN (PCA)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:ANN
Last Name:MAYS
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:MS
Other - First Name:SHEILA
Other - Middle Name:ANN
Other - Last Name:ALBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 RACCOON CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:BRANCHLAND
Mailing Address - State:WV
Mailing Address - Zip Code:25506
Mailing Address - Country:US
Mailing Address - Phone:304-356-4562
Mailing Address - Fax:
Practice Address - Street 1:1100 RACCOON CREEK ROAD
Practice Address - Street 2:
Practice Address - City:BRANCHLAND
Practice Address - State:WV
Practice Address - Zip Code:25506
Practice Address - Country:US
Practice Address - Phone:304-778-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
0033275000OtherPROVIDER ID