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NPI Code Detail

MEDICARE: MITZ MARIE DE LA TORRE NP

MEDICARE: MITZ MARIE DE LA TORRE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP2234AZ

General Provider Information

NPI Number : 1134177843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITZ MARIE DE LA TORRE NP
Provider Business Mailing Address
First Line : 926 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9725
Provider Business Practice Location Address
First Line : 926 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 03/19/2024

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Directions to “ MITZ MARIE DE LA TORRE NP” Practice Location

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