Provider Demographics
NPI:1356037261
Name:CONTRERAS, EMILY ELISE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ELISE
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4813 MIZE CT
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-8927
Mailing Address - Country:US
Mailing Address - Phone:682-234-8478
Mailing Address - Fax:
Practice Address - Street 1:4813 MIZE CT
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-8927
Practice Address - Country:US
Practice Address - Phone:682-234-8478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily