Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP141729 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP141729 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP141729 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | AP141729 | TX |
N | 363LP2300X | Nurse Practitioner - Primary Care | AP141729 | TX |
NPI | 1245890136 |
---|---|
Provider Name | Emiliana Gonzalez Leyva |
First Address | El Paso, TX 79925-7701 |
Second Address | El Paso, TX 79925-7701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2019 |
Last Update Date | 01/02/2022 |