Healthcare Provider Details

I. General information

NPI: 1285105536
Provider Name (Legal Business Name): LIZBETH BARBA MSN, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MYRTLE AVE # 58
PLAINFIELD NJ
07063-1000
US

IV. Provider business mailing address

20642 STONE OAK PKWY STE 105
SAN ANTONIO TX
78258-7363
US

V. Phone/Fax

Practice location:
  • Phone: 908-753-6401
  • Fax:
Mailing address:
  • Phone: 210-650-0814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP139442
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ14841100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: