Healthcare Provider Details

I. General information

NPI: 1487163135
Provider Name (Legal Business Name): KRISTY LEE TORRES CFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 09/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 W 6TH ST
RENO NV
89503-4548
US

IV. Provider business mailing address

4608 S DESERT BRUSH CT
SPARKS NV
89436-4665
US

V. Phone/Fax

Practice location:
  • Phone: 775-770-3150
  • Fax:
Mailing address:
  • Phone: 775-420-1788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number17-510
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: