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Mitz Marie De La Torre

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as MITZ DE LA TORRE.

Based on the most recent information from CMS, provider Mitz Marie De La Torre is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1134177843
Provider Type
Individual
Full Name
De La Torre, Mitz Marie
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
5/5/2006
Last Updated
3/19/2024

Contact Information

Practice Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 235-9725

Mailing Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 235-9725

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP2234 Arizona

Mitz Marie De La Torre

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pappas, Leah

Moore, Seresa

Nevels, Catherine R

Rivera, Maria Alejandra

Bolden, Lacey Mae

Diaz, Patricia

Ritcie, Johanna Salumbides

Tung, Lily

Morenings, Shonna

Ward, Amy E