Provider Demographics
NPI:1427216613
Name:TORREZ, WILDA JOJESKE (RN, BSN, CNOR, RNFA)
Entity type:Individual
Prefix:
First Name:WILDA
Middle Name:JOJESKE
Last Name:TORREZ
Suffix:
Gender:F
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 COUNTY ROAD 2191
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-9689
Mailing Address - Country:US
Mailing Address - Phone:281-253-7788
Mailing Address - Fax:281-432-2541
Practice Address - Street 1:225 COUNTY ROAD 2191
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-9689
Practice Address - Country:US
Practice Address - Phone:281-253-7788
Practice Address - Fax:281-432-2541
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-25
Last Update Date:2008-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX683773163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N8063OtherBLUE CROSS BLUE SHIELD