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WANDA IVELLISSE TORRES CRNA
>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1063691293
Individual Registrant: WANDA IVELLISSE TORRES CRNA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2815 SOUTH SEACREAST BLVD BOYTON BEACH, FL 33435 US
Tel: 561-737-7733 Fax: 561-737-4555
Tel: 561-737-7733 Fax: 561-737-4555
Contact information for business:
214 PALM BEACH PLANTATION BLVD ROYAL PALM BEACH, FL 33411-4542 US
Tel: 561-324-9364 Fax: --
Tel: 561-324-9364 Fax: --
Registration Information:
NPI: 1063691293
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | FL | ARNP9275524 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NPI | 1063691293 | FL | 01 |
