Provider Demographics
NPI:1427308626
Name:TORRES, SARAH K (WHNP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:K
Last Name:TORRES
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:K
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WHNP
Mailing Address - Street 1:1200 SIXTH ST
Mailing Address - Street 2:STE 400
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2369
Mailing Address - Country:US
Mailing Address - Phone:231-392-0655
Mailing Address - Fax:231-392-0665
Practice Address - Street 1:1200 SIXTH ST
Practice Address - Street 2:STE 400
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2369
Practice Address - Country:US
Practice Address - Phone:231-392-0655
Practice Address - Fax:231-392-0665
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704240995363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704240995OtherMICHIGAN NURSING LICENSE