Provider Demographics
NPI:1689325185
Name:WURTH, BARBIE MARIE
Entity Type:Individual
Prefix:
First Name:BARBIE
Middle Name:MARIE
Last Name:WURTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4429 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51108-1318
Mailing Address - Country:US
Mailing Address - Phone:712-253-6913
Mailing Address - Fax:
Practice Address - Street 1:4429 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51108-1318
Practice Address - Country:US
Practice Address - Phone:712-253-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-16
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)