Provider Demographics
NPI:1386513927
Name:GORSICH, MARIANNE
Entity type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:GORSICH
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 1:5976 REDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-3819
Mailing Address - Country:US
Mailing Address - Phone:619-861-4546
Mailing Address - Fax:
Practice Address - Street 1:5976 REDWOOD ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-3819
Practice Address - Country:US
Practice Address - Phone:619-861-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion