Healthcare Provider Details

I. General information

NPI: 1073420402
Provider Name (Legal Business Name): GENECY LILIANA TORREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 BLACKFORD ST
CHATTANOOGA TN
37403-1405
US

IV. Provider business mailing address

169 HEATHERWOOD CT NW
CLEVELAND TN
37312-7207
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-6101
  • Fax:
Mailing address:
  • Phone: 423-462-5989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number237750
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: