Provider Demographics
NPI:1053867127
Name:TORRES, STACY (LPN)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:M
Other - Last Name:APFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3063 N 58TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1546
Mailing Address - Country:US
Mailing Address - Phone:414-403-9985
Mailing Address - Fax:
Practice Address - Street 1:3063 N 58TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1546
Practice Address - Country:US
Practice Address - Phone:414-403-9985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI321034-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse