Provider Demographics
NPI:1659792745
Name:MAYS, CINDY L (CNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:MAYS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 LOONEY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-4199
Mailing Address - Country:US
Mailing Address - Phone:937-778-1650
Mailing Address - Fax:937-778-3576
Practice Address - Street 1:280 LOONEY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-4199
Practice Address - Country:US
Practice Address - Phone:937-778-1650
Practice Address - Fax:937-778-3576
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 15499 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0096144Medicaid