Basic Information
| Provider Information | |||||||||
| NPI: | 1699176115 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORRENCE | ||||||||
| FirstName: | IFE | ||||||||
| MiddleName: | I | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1510 N 28TH ST | ||||||||
| Address2: | SUITE 308 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232235311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046441665 | ||||||||
| FaxNumber: | 8046445285 | ||||||||
| Practice Location | |||||||||
| Address1: | 1510 N 28TH ST | ||||||||
| Address2: | SUITE 308 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232235311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046441665 | ||||||||
| FaxNumber: | 8046445285 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2014 | ||||||||
| LastUpdateDate: | 02/04/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024172055 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | C06695 | 01 | VA | GROUP PTAN | OTHER |