Healthcare Provider Details

I. General information

NPI: 1992306542
Provider Name (Legal Business Name): ANA LIZA TORRES VILLANUEVA APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 W 6TH ST
IRVING TX
75060-3874
US

IV. Provider business mailing address

916 W 6TH ST
IRVING TX
75060-3874
US

V. Phone/Fax

Practice location:
  • Phone: 214-570-0006
  • Fax:
Mailing address:
  • Phone: 972-975-5444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License NumberAP140557
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP140557
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: