Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP116203 | TX |
NPI | 1336318971 |
---|---|
Provider Name | Leigh Ann Torres |
First Address | El Paso, TX 79905-1613 |
Second Address | El Paso, TX 79905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 17/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TOR1-0429-7231 | NEONATAL CERTIFICATION # (01) | TX |