Provider Demographics
NPI:1952834541
Name:MAGUIRE, BARBRA QUIMPO (PMHNP)
Entity Type:Individual
Prefix:
First Name:BARBRA
Middle Name:QUIMPO
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3788 NEAL RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-6119
Mailing Address - Country:US
Mailing Address - Phone:530-520-0821
Mailing Address - Fax:
Practice Address - Street 1:3788 NEAL RD
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-6119
Practice Address - Country:US
Practice Address - Phone:530-520-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006427363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health