Provider Demographics
NPI:1598368748
Name:PREBIS, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:PREBIS
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 1:1771 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9747
Mailing Address - Country:US
Mailing Address - Phone:330-819-5166
Mailing Address - Fax:
Practice Address - Street 1:1771 RIDGE RD
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9747
Practice Address - Country:US
Practice Address - Phone:330-819-5166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker