MEDICARE: MOLLY ANN TORRES APRN, CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	1109968	TX

General Provider Information

NPI Number	:	1689371718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY ANN TORRES APRN, CPNP-PC

Provider Business Mailing Address
First Line	:	707 HOLLYBROOK DR STE 300
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-2410
Country	:	US
Telephone Number	:	903-757-6042
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 HOLLYBROOK DR STE 300
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-2410
Country	:	US
Telephone Number	:	903-757-6042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2023
Last Update Date	:	04/15/2026

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