Individual
MRS. DENA MARIE DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHCNP
Contact information
Practice address
665 CAMINO DE LOS MARES, SUITE 203A, SAN CLEMENTE, CA 92673-2859
(949) 661-3101
Mailing address
27908 VIA DE COSTA, SAN JUAN CAPISTRANO, CA 92675-5360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
603451
CA
363LW0102X
Women's Health Nurse Practitioner
17063
CA
367A00000X
Advanced Practice Midwife
Primary
17063
CA
367A00000X
Advanced Practice Midwife
1747
CA
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
05/16/2007
Last updated
10/11/2021
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