Provider Demographics
NPI:1780942052
Name:MAYS, ANNA DELORES
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:DELORES
Last Name:MAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 23RD ST SE APT 121B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4567
Mailing Address - Country:US
Mailing Address - Phone:202-248-6531
Mailing Address - Fax:
Practice Address - Street 1:1908 23RD ST SE APT 121B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4567
Practice Address - Country:US
Practice Address - Phone:202-248-6531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA0233374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide