Provider Demographics
NPI:1083006555
Name:TORRES, ANNA ISABEL (LVN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ISABEL
Last Name:TORRES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9625 SYLMAR AVE
Mailing Address - Street 2:28
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1149
Mailing Address - Country:US
Mailing Address - Phone:818-200-3034
Mailing Address - Fax:
Practice Address - Street 1:9625 SYLMAR AVE
Practice Address - Street 2:28
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1149
Practice Address - Country:US
Practice Address - Phone:818-200-3034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261611164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse