MEDICARE: MS. CHRISTINA YVONNE MAYS LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN038442-IV	OH

General Provider Information

NPI Number	:	1306993431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA YVONNE MAYS LPN

Provider Business Mailing Address
First Line	:	386 BERRY AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2054
Country	:	US
Telephone Number	:	330-253-4822
Fax Number	:

Provider Business Practice Location Address
First Line	:	939 CHALKER ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-2157
Country	:	US
Telephone Number	:	330-762-4753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/08/2007

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