Individual
ELIZABETH MAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4014
(260) 266-4176
Mailing address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4014
(260) 266-4176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005493A
IN
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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