Provider Demographics
NPI:1215905500
Name:CURTIS, TERRI ANN (CRNA)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:ANN
Last Name:CURTIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:A
Other - Last Name:ALVARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:668 SAMANTHA DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6250
Mailing Address - Country:US
Mailing Address - Phone:727-460-4421
Mailing Address - Fax:
Practice Address - Street 1:1200 7TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1388
Practice Address - Country:US
Practice Address - Phone:727-825-1486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2827412367500000X
IN28193491A367500000X
FL2927412367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG2108OtherBCBS
IN000000696857OtherANTHEM PROVIDER NUMBER
IN201002580Medicaid
FLP00465666OtherRAILROAD MEDICARE
FL300746400Medicaid
FLG2108UOtherMEDICARE
IN000000696857OtherANTHEM PROVIDER NUMBER
FLP00465666OtherRAILROAD MEDICARE
INM400032236Medicare PIN
FLG2108OtherBCBS