Provider Demographics
NPI:1295879013
Name:VINCENT TORRES, TINA R (FNP-BC)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:R
Last Name:VINCENT TORRES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:VINCENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:1515 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3499
Mailing Address - Fax:
Practice Address - Street 1:19161 HEALTHY WAY UNIT 100
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4491
Practice Address - Country:US
Practice Address - Phone:302-645-3010
Practice Address - Fax:302-645-3814
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10033340163W00000X
DELG0000525363LF0000X
DELG-0000525363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily