Healthcare Provider Details

I. General information

NPI: 1780383877
Provider Name (Legal Business Name): EVA TORRES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8121 W QUINAULT AVE STE 101
KENNEWICK WA
99336-8242
US

IV. Provider business mailing address

1959 GALA WAY
RICHLAND WA
99352-5703
US

V. Phone/Fax

Practice location:
  • Phone: 509-438-8966
  • Fax:
Mailing address:
  • Phone: 509-949-9123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF02230151
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: