Provider Demographics
NPI:1225623291
Name:TORRES, CAITLIN REILLY (APRN)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:REILLY
Last Name:TORRES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E DAKIN AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5724
Mailing Address - Country:US
Mailing Address - Phone:321-442-0192
Mailing Address - Fax:
Practice Address - Street 1:100 E DAKIN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5724
Practice Address - Country:US
Practice Address - Phone:321-442-0192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11011704363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner