Healthcare Provider Details

I. General information

NPI: 1033414784
Provider Name (Legal Business Name): EMILIE R. TORRETTA CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILIE R. MOORE

II. Dates (important events)

Enumeration Date: 01/11/2011
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 W LINCOLN AVE
YAKIMA WA
98902-2437
US

IV. Provider business mailing address

PO BOX 190
TOPPENISH WA
98948-0190
US

V. Phone/Fax

Practice location:
  • Phone: 509-575-1990
  • Fax:
Mailing address:
  • Phone: 509-865-6175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60188562
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00134861
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: