Provider Demographics
NPI:1811710452
Name:TORRES, GUINEVERE (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:GUINEVERE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:MS
Other - First Name:GUINEVERE
Other - Middle Name:
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5930 W PATRICK LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2739
Mailing Address - Country:US
Mailing Address - Phone:702-739-4754
Mailing Address - Fax:
Practice Address - Street 1:3701 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1844
Practice Address - Country:US
Practice Address - Phone:702-388-4428
Practice Address - Fax:702-388-4312
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN63725163W00000X
NV884412363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse