Provider Demographics
NPI:1346577996
Name:MAYS, MISTI M (NP)
Entity Type:Individual
Prefix:
First Name:MISTI
Middle Name:M
Last Name:MAYS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MISTI
Other - Middle Name:M
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 451 ABILENE STATE SUPPORTED LIVING CENTER
Mailing Address - Street 2:MAIL CODE 6003
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79604-0451
Mailing Address - Country:US
Mailing Address - Phone:325-692-4053
Mailing Address - Fax:325-795-3037
Practice Address - Street 1:ABILENE STATE SUPPORTED LIVING CENTER
Practice Address - Street 2:2501 MAPLE STREET
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-5058
Practice Address - Country:US
Practice Address - Phone:325-692-4053
Practice Address - Fax:325-795-3037
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX707066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208278601Medicaid
TX208278602Medicaid
TX208278603Medicaid
TX8L22510Medicare PIN
TX208278602Medicaid
TX8L22511Medicare PIN