| Doctor Name: | MARY ANNE LA TORRE |
| NPI Number: | 1265577324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., |
| License Number: | R132273 |
| Business Practice Address: | 31546 Sassafras River Ave Galena, MD - 216351349 |
| Business Phone Number: | 4106485884 |
| Business Fax Number: | 4106485764 |
| Mailing Address: | 31546 Sassafras River Ave, GALENA |
| State: | MD |
| Postal Code: | 216351349 |
| Phone Number: | 4106485884 |
| Fax Number: | 4106485764 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | R132273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |