MEDICARE: MRS. GUINEVERE TORRES APRN, FNP-BC

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	163W00000X	Registered Nurse	RN63725	NV
2	363LF0000X	Family Nurse Practitioner	884412	NV

General Provider Information

NPI Number	:	1811710452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GUINEVERE TORRES APRN, FNP-BC

Provider Business Mailing Address
First Line	:	5930 W PATRICK LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2739
Country	:	US
Telephone Number	:	702-739-4754
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1844
Country	:	US
Telephone Number	:	702-388-4428
Fax Number	:	702-388-4312

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

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	12/25/2024

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