Provider Demographics
NPI:1487339388
Name:HILES, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HILES
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 1:12380 NORRIS RD
Mailing Address - Street 2:
Mailing Address - City:FRAZEYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43822-9560
Mailing Address - Country:US
Mailing Address - Phone:740-507-2848
Mailing Address - Fax:
Practice Address - Street 1:12380 NORRIS RD
Practice Address - Street 2:
Practice Address - City:FRAZEYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43822-9560
Practice Address - Country:US
Practice Address - Phone:740-507-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide