# TORRI S PREDMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649222985
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10003592A | IN | Yes |
| 363A00000X | Physician Assistant | PA9103632 | FL | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 02/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 264431076 | MEDICARE PTAN | IN |
| 05 | — | 292422600 | — | FL |
| 05 | — | 300070663 | — | IN |