Provider Demographics
NPI:1811556822
Name:SYMNS, ANNA MARIA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:SYMNS
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 1:5270 GERMANTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-1616
Mailing Address - Country:US
Mailing Address - Phone:336-955-2326
Mailing Address - Fax:336-986-9029
Practice Address - Street 1:5270 GERMANTON RD STE 200
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-1616
Practice Address - Country:US
Practice Address - Phone:336-955-2326
Practice Address - Fax:336-986-9029
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC253Z00000X
NCHC5771253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care