Provider Demographics
NPI:1033860705
Name:TORRES, MONICA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2069 TENDOY ST
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-7802
Mailing Address - Country:US
Mailing Address - Phone:208-613-0972
Mailing Address - Fax:
Practice Address - Street 1:2069 TENDOY ST
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-7802
Practice Address - Country:US
Practice Address - Phone:208-613-0972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID51098163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse