Provider Demographics
NPI:1164221933
Name:TORRES, KRISTIN LEE (CRNP, CDCES, CPNP-PC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LEE
Last Name:TORRES
Suffix:
Gender:F
Credentials:CRNP, CDCES, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3080 HAMILTON BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-3694
Mailing Address - Country:US
Mailing Address - Phone:484-661-4641
Mailing Address - Fax:610-969-3235
Practice Address - Street 1:3080 HAMILTON BLVD STE 250
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3694
Practice Address - Country:US
Practice Address - Phone:484-661-4641
Practice Address - Fax:610-969-3235
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN705718163W00000X
NJ26NR24994300163W00000X
PA22200655163WD0400X
PASP032414363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator