Healthcare Provider Details

I. General information

NPI: 1497364632
Provider Name (Legal Business Name): KATELIN TORRES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST STE 1204
SILVER SPRING MD
20910-3808
US

IV. Provider business mailing address

1500 FOREST GLEN RD
SILVER SPRING MD
20910-1460
US

V. Phone/Fax

Practice location:
  • Phone: 866-877-7258
  • Fax:
Mailing address:
  • Phone: 301-754-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR202118
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: