Healthcare Provider Details
I. General information
NPI: 1033073002
Provider Name (Legal Business Name): ALIZAYA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1517 BROADWAY STE 110
SCOTTSBLUFF NE
69361-3184
US
IV. Provider business mailing address
1085 TRAIL CT
GERING NE
69341-3233
US
V. Phone/Fax
- Phone: 402-697-5131
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | 160170 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: