Provider Demographics
NPI:1821690785
Name:VORYS, ANNA VICTORIA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:VICTORIA
Last Name:VORYS
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 1:6328 RISING SUN DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8881
Mailing Address - Country:US
Mailing Address - Phone:614-312-9727
Mailing Address - Fax:
Practice Address - Street 1:2307 WILLOWSIDE LN
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8849
Practice Address - Country:US
Practice Address - Phone:614-312-9727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-14
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2573402374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide