Provider Demographics
NPI:1194746362
Name:MAYS, GLORIA DENISE (APRN, NP)
Entity type:Individual
Prefix:MISS
First Name:GLORIA
Middle Name:DENISE
Last Name:MAYS
Suffix:
Gender:F
Credentials:APRN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 W ARIZONA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-4306
Mailing Address - Country:US
Mailing Address - Phone:318-251-1233
Mailing Address - Fax:318-254-5023
Practice Address - Street 1:300 W ARIZONA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-4306
Practice Address - Country:US
Practice Address - Phone:318-251-1233
Practice Address - Fax:318-254-5023
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN064413 APO3033363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health