Provider Demographics
NPI:1326623638
Name:TORRES, MARISOL ARACELIS (DNP, APRN, PMHNP-C)
Entity type:Individual
Prefix:
First Name:MARISOL
Middle Name:ARACELIS
Last Name:TORRES
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28210 PASEO DR STE 190-259
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-5392
Mailing Address - Country:US
Mailing Address - Phone:813-670-7723
Mailing Address - Fax:813-336-8927
Practice Address - Street 1:28210 PASEO DR STE 190-259
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-5392
Practice Address - Country:US
Practice Address - Phone:813-670-7723
Practice Address - Fax:813-336-8927
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012129363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily