Healthcare Provider Details

I. General information

NPI: 1538341342
Provider Name (Legal Business Name): ANNALIZA TORRES APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
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: 480-760-1276
  • 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 Number3261-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: