Healthcare Provider Details

I. General information

NPI: 1487499935
Provider Name (Legal Business Name): LAURYN DANIELLE TORRES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 E HAWKINS PKWY STE A
LONGVIEW TX
75605-8162
US

IV. Provider business mailing address

3001 FAIRWAY OAKS LN
LONGVIEW TX
75605-2652
US

V. Phone/Fax

Practice location:
  • Phone: 903-247-3400
  • Fax:
Mailing address:
  • Phone: 318-286-9529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1167737
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1167737
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: