Provider Demographics
NPI:1649557133
Name:TORRES, ANGELA MARIE (CD(DONA), CBC(CBI))
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:TORRES
Suffix:
Gender:F
Credentials:CD(DONA), CBC(CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 LITTLE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-3035
Mailing Address - Country:US
Mailing Address - Phone:571-265-7050
Mailing Address - Fax:
Practice Address - Street 1:8111 LITTLE RIDGE LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX STATION
Practice Address - State:VA
Practice Address - Zip Code:22039-3035
Practice Address - Country:US
Practice Address - Phone:571-265-7050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula