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Individual

MRS. AMY E TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
Mailing address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017007849
MO
363LA2100X
Acute Care Nurse Practitioner
2017007849
MO

Other

Enumeration date
04/06/2017
Last updated
08/09/2022
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