Healthcare Provider Details

I. General information

NPI: 1508445974
Provider Name (Legal Business Name): NICOLE TORRALBA GUINDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE TORRALBA MD

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-2701
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-5606
  • Fax:
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD484648
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberFT3921841
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: