Individual
MARIO TORRES-NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
Mailing address
5360 ALLATOONA GTWY APT 2206, ACWORTH, GA 30101-7421
(787) 955-5777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
124739
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN323918
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124739
CRNA LICENSE NUMBER
IL
Enumeration date
09/13/2022
Last updated
04/18/2025
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