MEDICARE: ELIZABETH BARBOUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LN0000X	Neonatal Nurse Practitioner	637441	TX

General Provider Information

NPI Number	:	1255682605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BARBOUR

Provider Business Mailing Address
First Line	:	3205 EL MORRO RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-3006
Country	:	US
Telephone Number	:	915-433-9531
Fax Number	:

Provider Business Practice Location Address
First Line	:	3205 EL MORRO RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-3006
Country	:	US
Telephone Number	:	915-433-9531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	01/07/2013

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Directions to “ ELIZABETH BARBOUR ” Practice Location

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