Provider Demographics
NPI:1326623638
Name:TORRES, MARISOL ARACELIS (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MARISOL
Middle Name:ARACELIS
Last Name:TORRES
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 VINCINDA CREST WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-0816
Mailing Address - Country:US
Mailing Address - Phone:813-466-4406
Mailing Address - Fax:
Practice Address - Street 1:536 VINCINDA CREST WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-0816
Practice Address - Country:US
Practice Address - Phone:813-466-4406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012129363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily