Provider Demographics
NPI:1447514468
Name:SHURI, HONORINE
Entity type:Individual
Prefix:
First Name:HONORINE
Middle Name:
Last Name:SHURI
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 1:7867 APACHE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-7607
Mailing Address - Country:US
Mailing Address - Phone:423-946-5178
Mailing Address - Fax:
Practice Address - Street 1:7867 APACHE RIDGE CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-7607
Practice Address - Country:US
Practice Address - Phone:423-946-5178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide