Healthcare Provider Details

I. General information

NPI: 1821830167
Provider Name (Legal Business Name): ISEL DE LA TORRE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N FLAGLER DR STE 430
WEST PALM BEACH FL
33401-3430
US

IV. Provider business mailing address

1515 N FLAGLER DR STE 430
WEST PALM BEACH FL
33401-3430
US

V. Phone/Fax

Practice location:
  • Phone: 561-659-6336
  • Fax: 561-659-9353
Mailing address:
  • Phone: 561-659-6336
  • Fax: 561-659-9353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11033265
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: