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NPI Code Detail

MEDICARE: LISA M TORRE-IGWE CNS, PMHNP

MEDICARE:   LISA M TORRE-IGWE  CNS, PMHNP
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse309627CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95005881CA
3364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist2699CA
4363LP0808XPsychiatric/Mental Health Nurse PractitionerNP95005881CA

General Provider Information

NPI Number : 1851442529
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M TORRE-IGWE CNS, PMHNP
Provider Business Mailing Address
First Line : 2240 W MONTE VISTA AVE
Second Line :
City : TURLOCK
State : CA
Zip : 95382-9667
Country : US
Telephone Number : 209-722-4842
Fax Number :
Provider Business Practice Location Address
First Line : 2240 W MONTE VISTA AVE
Second Line :
City : TURLOCK
State : CA
Zip : 95382-9667
Country : US
Telephone Number : 209-722-4842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 02/22/2025

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