Provider Demographics
NPI:1730950296
Name:TORREZ, DEANNA MARIA
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:MARIA
Last Name:TORREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 VISTA DE SOBRE DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-0770
Mailing Address - Country:US
Mailing Address - Phone:916-459-9215
Mailing Address - Fax:
Practice Address - Street 1:7320 VISTA DE SOBRE DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-0770
Practice Address - Country:US
Practice Address - Phone:916-459-9215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide