Provider Demographics
NPI:1205317914
Name:KANYI, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:KANYI
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 1:327 S JUPITER RD APT 1233
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3076
Mailing Address - Country:US
Mailing Address - Phone:703-389-5293
Mailing Address - Fax:
Practice Address - Street 1:327 S JUPITER RD APT 1233
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3076
Practice Address - Country:US
Practice Address - Phone:703-389-5293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX338092164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse