Doctor Name: | MRS. BRANDI DAWN DE LA TORRE |
NPI Number: | 1033400015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R52933 |
Business Practice Address: | 315 S Hudson St Silver City, NM - 880616184 |
Business Phone Number: | 5753884497 |
Business Fax Number: | 5755341150 |
Mailing Address: | Po Box 1349, SILVER CITY |
State: | NM |
Postal Code: | 880621349 |
Phone Number: | 5753884497 |
Fax Number: | 5755341150 |
NPI Enumeration Date: | 04/26/2011 |
NPI Last Update Date: | 02/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | R52933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |