| NPI | 1417625187 |
|---|---|
| Former Name | STACY MARIE TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022525) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11035492) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95011538) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95011538) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11035492) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5022525) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-08-13 |