Provider Demographics
NPI:1568940666
Name:TORRES, YOLANDA LIZBETH (LVN)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:LIZBETH
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 1:8003 SHADOW FRST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-3529
Mailing Address - Country:US
Mailing Address - Phone:817-501-5077
Mailing Address - Fax:
Practice Address - Street 1:8003 SHADOW FRST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-3529
Practice Address - Country:US
Practice Address - Phone:817-501-5077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17607116164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty