Healthcare Provider Details

I. General information

NPI: 1952228025
Provider Name (Legal Business Name): JOSELINE BANNELY TORRES FERNANDEZ AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOSELINE TORRES AGNP-C

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 E 16TH AVE
AURORA CO
80045-2520
US

IV. Provider business mailing address

7459 LA QUINTA PL
LONE TREE CO
80124-4203
US

V. Phone/Fax

Practice location:
  • Phone: 970-848-0000
  • Fax:
Mailing address:
  • Phone: 970-688-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number1656043
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: