MEDICARE: MS. RUBY MARISELA BARQUIST 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	1036241	TX

General Provider Information

NPI Number	:	1932877446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RUBY MARISELA BARQUIST CPNP-PC

Provider Business Mailing Address
First Line	:	10870 GATEWAY BLVD N
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-1820
Country	:	US
Telephone Number	:	915-751-5245
Fax Number	:	915-747-5255

Provider Business Practice Location Address
First Line	:	10870 GATEWAY BLVD N
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-1820
Country	:	US
Telephone Number	:	915-751-5245
Fax Number	:	915-751-5255

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

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	04/25/2025

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