Healthcare Provider Details

I. General information

NPI: 1558243501
Provider Name (Legal Business Name): EDITH TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EDITH RANGEL

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E 22ND PL
KENNEWICK WA
99337-4935
US

IV. Provider business mailing address

31 E 22ND PL
KENNEWICK WA
99337-4935
US

V. Phone/Fax

Practice location:
  • Phone: 509-840-5412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number70148185
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN61291660
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: