Healthcare Provider Details

I. General information

NPI: 1538670468
Provider Name (Legal Business Name): VALERIE CONTRERAS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 01/21/2022
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 E CLIFF DR
EL PASO TX
79902-4732
US

IV. Provider business mailing address

6028 SURETY DR
EL PASO TX
79905-2018
US

V. Phone/Fax

Practice location:
  • Phone: 915-239-2955
  • Fax: 915-444-5904
Mailing address:
  • Phone: 915-544-3500
  • Fax: 915-532-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP135518
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: