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NPI Code Detail

MEDICARE: GUADALUPE ROBLES MISQUEZ N.P.

MEDICARE:   GUADALUPE ROBLES MISQUEZ  N.P.
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
1363LG0600XGerontology Nurse Practitioner4025224KY
2363LP2300XPrimary Care Nurse Practitioner6510CA
3363LW0102XWomen's Health Nurse Practitioner4025224KY
4363L00000XNurse Practitioner337435AZ
5363L00000XNurse Practitioner4025224KY

General Provider Information

NPI Number : 1447389895
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUADALUPE ROBLES MISQUEZ N.P.
Provider Business Mailing Address
First Line : 825 N GRAND AVE, SUITE 100
Second Line : SUITE 100
City : NOGALES
State : AZ
Zip : 85621
Country : US
Telephone Number : 520-761-2128
Fax Number : 520-281-1112
Provider Business Practice Location Address
First Line : 1209 W TARGET RANGE RD
Second Line :
City : NOGALES
State : AZ
Zip : 85621-2417
Country : US
Telephone Number : 520-287-4747
Fax Number : 520-281-4487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2007
Last Update Date : 06/16/2026

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Directions to “ GUADALUPE ROBLES MISQUEZ N.P.” Practice Location

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