Provider Demographics
NPI:1427223254
Name:MAYS, REGINA M
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:M
Last Name:MAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TRACY
Other - Middle Name:A
Other - Last Name:CROSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:347 S REYNOLDS RD STE A
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6953
Mailing Address - Country:US
Mailing Address - Phone:419-535-5911
Mailing Address - Fax:419-535-5988
Practice Address - Street 1:347 S REYNOLDS RD STE A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-6953
Practice Address - Country:US
Practice Address - Phone:419-535-5911
Practice Address - Fax:419-535-5988
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1753148163WH0200X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program