Provider Demographics
NPI:1093758369
Name:TORRES, AUDRY MARIE (FAMILY NURSE PRACTIT)
Entity type:Individual
Prefix:MRS
First Name:AUDRY
Middle Name:MARIE
Last Name:TORRES
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:AUDRY
Other - Middle Name:MARIE
Other - Last Name:WAITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:2555 MARVIN RD NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-3138
Mailing Address - Country:US
Mailing Address - Phone:360-413-4200
Mailing Address - Fax:360-413-4225
Practice Address - Street 1:2555 MARVIN RD NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-3138
Practice Address - Country:US
Practice Address - Phone:360-413-4200
Practice Address - Fax:360-413-4225
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60678112363LF0000X
UT5326938-3102390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily