Individual
MRS. JAMIE WURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
615 S NEW BALLAS RD, DEPT. OF ANESTHESIOLOGY, SAINT LOUIS, MO 63141-8221
(314) 251-4687
(314) 251-4241
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011032982
MO
Other
Enumeration date
10/25/2011
Last updated
04/26/2012
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