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WANDA IVELLISSE TORRES CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1063691293

Individual Registrant:
 WANDA IVELLISSE TORRES CRNA
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

Contact information for business:
214 PALM BEACH PLANTATION BLVD  ROYAL PALM BEACH, FL 33411-4542 US
Tel: 561-324-9364  Fax: --

Registration Information:
NPI: 1063691293
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
FLARNP9275524

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI1063691293FL01




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