Provider Demographics
NPI:1205693678
Name:KHOURI, ANNA MARIA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:KHOURI
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 1:8610 CRAIGSTON CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9780
Mailing Address - Country:US
Mailing Address - Phone:419-283-5513
Mailing Address - Fax:
Practice Address - Street 1:8610 CRAIGSTON CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-9780
Practice Address - Country:US
Practice Address - Phone:419-283-5513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0000321874376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker