Provider Demographics
NPI:1073244182
Name:TORRES MEDINA, NANCY PATRICIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:PATRICIA
Last Name:TORRES MEDINA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16106 BRUNSWICK DR
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-8933
Mailing Address - Country:US
Mailing Address - Phone:574-312-9433
Mailing Address - Fax:
Practice Address - Street 1:808 N 3RD ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46528-7100
Practice Address - Country:US
Practice Address - Phone:574-534-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN363LF0000X163WX0200X
IN71012789A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology