MEDICARE: ANNETTE BARRAZA CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	1001383	TX

General Provider Information

NPI Number	:	1225999782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE BARRAZA CPNP-PC

Provider Business Mailing Address
First Line	:	807 TRADEWINDS BLVD
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79706-3163
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 TRADEWINDS BLVD
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79706-3163
Country	:	US
Telephone Number	:	432-400-7586
Fax Number	:

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

Provider Enumeration Date	:	11/22/2025
Last Update Date	:	11/22/2025

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Directions to “ ANNETTE BARRAZA CPNP-PC” Practice Location

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