MEDICARE: MS. CLAUDIA A MAYS M.ED.

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	171M00000X	Case Manager/Care Coordinator		OK

General Provider Information

NPI Number	:	1891179008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAUDIA A MAYS M.ED.

Provider Business Mailing Address
First Line	:	1806 COVENTRY LN
Second Line	:
City	:	NICHOLS HILLS
State	:	OK
Zip	:	73120-4704
Country	:	US
Telephone Number	:	434-907-1479
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 COVENTRY LN
Second Line	:
City	:	NICHOLS HILLS
State	:	OK
Zip	:	73120-4704
Country	:	US
Telephone Number	:	434-907-1479
Fax Number	:

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

Provider Enumeration Date	:	07/17/2015
Last Update Date	:	07/17/2015

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