Healthcare Provider Details

I. General information

NPI: 1639026537
Provider Name (Legal Business Name): STEPHANIE OFELIA ARENAS APRN-CNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 ALAMEDA AVE
EL PASO TX
79905-2914
US

IV. Provider business mailing address

11659 CLEAR LAKE WAY
EL PASO TX
79936-4379
US

V. Phone/Fax

Practice location:
  • Phone: 915-242-8402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1192416
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: