Provider Demographics
NPI:1023085024
Name:GORRIE, ANN COURSEY (CRNA)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:COURSEY
Last Name:GORRIE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 W DE LEON ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4417
Mailing Address - Country:US
Mailing Address - Phone:202-361-3012
Mailing Address - Fax:
Practice Address - Street 1:4016 W DE LEON ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4417
Practice Address - Country:US
Practice Address - Phone:202-361-3012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9246557367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered