Healthcare Provider Details

I. General information

NPI: 1366359721
Provider Name (Legal Business Name): A.A TORRES PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25111 N 21ST AVE UNIT 136
PHOENIX AZ
85085-0060
US

IV. Provider business mailing address

25111 N 21ST AVE UNIT 136
PHOENIX AZ
85085-0060
US

V. Phone/Fax

Practice location:
  • Phone: 602-233-7760
  • Fax:
Mailing address:
  • Phone: 602-233-7760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNALIZA ALEXANDRA TORRES
Title or Position: PRESIDENT
Credential: APRN-CNP
Phone: 602-233-7760