Provider Demographics
NPI:1891823001
Name:KINARO, ANNAH M (RN)
Entity Type:Individual
Prefix:
First Name:ANNAH
Middle Name:M
Last Name:KINARO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LILLE CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5535
Mailing Address - Country:US
Mailing Address - Phone:302-832-3722
Mailing Address - Fax:302-832-3722
Practice Address - Street 1:1 LILLE CT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5535
Practice Address - Country:US
Practice Address - Phone:302-832-3722
Practice Address - Fax:302-832-3722
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2009-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0037606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000024615Medicare ID - Type Unspecified