Provider Demographics
NPI:1891290953
Name:MAYS, MORGAN N
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:N
Last Name:MAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:LUCINDA
Mailing Address - State:PA
Mailing Address - Zip Code:16235-4939
Mailing Address - Country:US
Mailing Address - Phone:814-319-4571
Mailing Address - Fax:
Practice Address - Street 1:467 TIMBER LN
Practice Address - Street 2:
Practice Address - City:LUCINDA
Practice Address - State:PA
Practice Address - Zip Code:16235-4939
Practice Address - Country:US
Practice Address - Phone:814-319-4571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA390200000XOtherSTUDENT
PA2255A2300XOtherSTUDENT