MEDICARE: MARIA TORRENCE REGISTERED NURSE

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
1	163W00000X	Registered Nurse	28249782A	IN

General Provider Information

NPI Number	:	1194656041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA TORRENCE REGISTERED NURSE

Provider Business Mailing Address
First Line	:	1814 JESSICA DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-9797
Country	:	US
Telephone Number	:	844-244-4930
Fax Number	:	971-316-1896

Provider Business Practice Location Address
First Line	:	1814 JESSICA DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-9797
Country	:	US
Telephone Number	:	844-244-4930
Fax Number	:	971-316-1896

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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