Provider Demographics
NPI:1902633274
Name:CONTRERAS, EILEEN LEYVA (FNP)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:LEYVA
Last Name:CONTRERAS
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12981 PLEASANT MANOR CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2783
Mailing Address - Country:US
Mailing Address - Phone:915-329-3023
Mailing Address - Fax:
Practice Address - Street 1:12981 PLEASANT MANOR CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2783
Practice Address - Country:US
Practice Address - Phone:915-329-3023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1171395363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily