MEDICARE: NILSA IVETTE TORRES RN

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	367500000X	Certified Registered Nurse Anesthetist	244569	OH

General Provider Information

NPI Number	:	1275587941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILSA IVETTE TORRES RN

Provider Business Mailing Address
First Line	:	2824 MCINTOSH CT
Second Line	:
City	:	LANCASTER
State	:	TX
Zip	:	75134-4911
Country	:	US
Telephone Number	:	972-228-4611
Fax Number	:

Provider Business Practice Location Address
First Line	:	2824 MCINTOSH CT
Second Line	:
City	:	LANCASTER
State	:	TX
Zip	:	75134-4911
Country	:	US
Telephone Number	:	972-228-4611
Fax Number	:

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/08/2007

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