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NPI Code Detail

MEDICARE: MRS. CHERITY GWEN MAYS FNP

MEDICARE: MRS. CHERITY GWEN MAYS FNP
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
1363LF0000XFamily Nurse PractitionerAP130126TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578921102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERITY GWEN MAYS FNP
Provider Business Mailing Address
First Line : 2501 LAKEVIEW DR
Second Line :
City : AMARILLO
State : TX
Zip : 79109-1531
Country : US
Telephone Number : 806-358-9400
Fax Number :
Provider Business Practice Location Address
First Line : 2501 LAKEVIEW DR
Second Line :
City : AMARILLO
State : TX
Zip : 79109-1531
Country : US
Telephone Number : 806-358-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2016
Last Update Date : 05/09/2024

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Directions to “ MRS. CHERITY GWEN MAYS FNP” Practice Location

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