Provider Demographics
NPI:1851953707
Name:TORRES SOLANO, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:TORRES SOLANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 992
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-0992
Mailing Address - Country:US
Mailing Address - Phone:530-513-9459
Mailing Address - Fax:
Practice Address - Street 1:11050 PASKENTA RD
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-7761
Practice Address - Country:US
Practice Address - Phone:530-513-9459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANPIMedicaid