Healthcare Provider Details

I. General information

NPI: 1811408222
Provider Name (Legal Business Name): BETH NICOLE TORRIANNI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 10/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 BIRCH ST
NEWPORT BEACH CA
92660-1990
US

IV. Provider business mailing address

4501 BIRCH ST
NEWPORT BEACH CA
92660-1990
US

V. Phone/Fax

Practice location:
  • Phone: 949-387-4724
  • Fax: 949-209-0407
Mailing address:
  • Phone: 949-387-4724
  • Fax: 949-209-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number795148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: