Healthcare Provider Details
I. General information
NPI: 1689926180
Provider Name (Legal Business Name): SARAH BETH TRUEX NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/08/2012
Last Update Date: 08/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2101 CHAPLINE ST
WHEELING WV
26003-3875
US
IV. Provider business mailing address
2101 CHAPLINE STREET
WHEELING WV
26003-3875
US
V. Phone/Fax
- Phone: 304-232-7151
- Fax: 304-232-6128
- Phone: 304-233-3240
- Fax: 304-232-6128
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 54785 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: