Provider Demographics
NPI:1821316555
Name:DEMOSS, TORREY FLYNN (PNP)
Entity Type:Individual
Prefix:MRS
First Name:TORREY
Middle Name:FLYNN
Last Name:DEMOSS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:TORREY
Other - Middle Name:BONNER
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27429 BRANDON CIR
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8417
Mailing Address - Country:US
Mailing Address - Phone:858-472-1383
Mailing Address - Fax:
Practice Address - Street 1:27429 BRANDON CIR
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8417
Practice Address - Country:US
Practice Address - Phone:970-440-3141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10058363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO59238569Medicaid
CO59238569Medicaid