Healthcare Provider Details
I. General information
NPI: 1336836477
Provider Name (Legal Business Name): CELINA LUCERO VALENZUELA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/19/2023
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3270 JOE BATTLE BLVD STE 312
EL PASO TX
79938-2651
US
IV. Provider business mailing address
PO BOX 911230
DALLAS TX
75391-1230
US
V. Phone/Fax
- Phone: 915-849-2700
- Fax: 915-849-4252
- Phone: 972-997-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 1113845 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 1113845 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: