Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | UP000229B | PA |
NPI | 1831191766 |
---|---|
Provider Name | Donna L. Torrisi |
First Address | Philadelphia, PA 19144-4248 |
Second Address | Philadelphia, PA 19144-4248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 22/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01271788 | (05) | PA |