Provider Demographics
NPI:1982388922
Name:TORRES, MAIRA ARLETTE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:MAIRA
Middle Name:ARLETTE
Last Name:TORRES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-2865
Mailing Address - Country:US
Mailing Address - Phone:712-574-6447
Mailing Address - Fax:
Practice Address - Street 1:2116 A ST
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3028
Practice Address - Country:US
Practice Address - Phone:712-574-6447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE93307163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool