Provider Demographics
NPI:1699090464
Name:MAYS, SAMANTHA LYNN MARIE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:LYNN MARIE
Last Name:MAYS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5881 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1554
Mailing Address - Country:US
Mailing Address - Phone:513-249-4616
Mailing Address - Fax:
Practice Address - Street 1:5881 ELM ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1554
Practice Address - Country:US
Practice Address - Phone:513-249-4616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.343021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse