Provider Demographics
NPI:1558678664
Name:TORRES, CARMEN ELVIRA (FNP)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:ELVIRA
Last Name:TORRES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CADILLAC DRIVE STE 350
Mailing Address - Street 2:TWO CREEKSIDE CROSSING
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027
Mailing Address - Country:US
Mailing Address - Phone:615-523-5656
Mailing Address - Fax:
Practice Address - Street 1:10 CADILLAC DRIVE STE 350
Practice Address - Street 2:TWO CREEKSIDE CROSSING
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-523-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334541-1302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization