Provider Demographics
NPI:1689926180
Name:TRUEX, SARAH BETH (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:TRUEX
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:BETH
Other - Last Name:BARICSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:2101 CHAPLINE STREET
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3875
Mailing Address - Country:US
Mailing Address - Phone:304-233-3240
Mailing Address - Fax:304-232-6128
Practice Address - Street 1:2101 CHAPLINE ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3875
Practice Address - Country:US
Practice Address - Phone:304-232-7151
Practice Address - Fax:304-232-6128
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV54785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVWV2248AMedicare PIN