Provider Demographics
NPI:1114713864
Name:GURROLA, ANNA L
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:L
Last Name:GURROLA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3311
Mailing Address - Country:US
Mailing Address - Phone:308-672-5572
Mailing Address - Fax:
Practice Address - Street 1:71 WOODLEY PARK RD
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-1633
Practice Address - Country:US
Practice Address - Phone:308-672-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion