Provider Demographics
NPI:1346832730
Name:TORRES, MICHELLE LORI (APRN- CNP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LORI
Last Name:TORRES
Suffix:
Gender:F
Credentials:APRN- CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 LAUREL OAK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-2346
Mailing Address - Country:US
Mailing Address - Phone:210-279-2993
Mailing Address - Fax:
Practice Address - Street 1:495 10TH ST STE 101
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-3163
Practice Address - Country:US
Practice Address - Phone:830-216-2716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-07
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029231363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily