Provider Demographics
NPI:1851857783
Name:KURIA, ANN MAMBO (NP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MAMBO
Last Name:KURIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7240 CHASE OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5901
Mailing Address - Country:US
Mailing Address - Phone:844-999-0019
Mailing Address - Fax:888-678-6794
Practice Address - Street 1:7240 CHASE OAKS BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5901
Practice Address - Country:US
Practice Address - Phone:844-999-0019
Practice Address - Fax:888-678-6794
Is Sole Proprietor?:No
Enumeration Date:2019-02-15
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1002045363L00000X
CA95010693363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health