Provider Demographics
NPI:1720888738
Name:TORRES, TANIA (FNP-BC)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:TORRES
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 TIMBERSIDE TER APT 303
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-4104
Mailing Address - Country:US
Mailing Address - Phone:917-731-2521
Mailing Address - Fax:917-731-2521
Practice Address - Street 1:4913 W LAUREL ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3811
Practice Address - Country:US
Practice Address - Phone:813-771-2034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily