MEDICARE: DR. DANIEL PAUL DEL TORO DNP, MSHI, RN-BC

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	163WA2000X	Administrator Registered Nurse	181711	TN
2	364SI0800X	Informatics Clinical Nurse Specialist	181711	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	181711	OTHER	TN	TN STATE BOARD OF NURSING

General Provider Information

NPI Number	:	1720821846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL PAUL DEL TORO DNP, MSHI, RN-BC

Provider Business Mailing Address
First Line	:	213 GERONIMO RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934-4645
Country	:	US
Telephone Number	:	865-659-2669
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 GERONIMO RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934-4645
Country	:	US
Telephone Number	:	865-659-2669
Fax Number	:

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

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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