Provider Demographics
NPI:1588732267
Name:WURR, CYNTHIA MYRA (ARNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MYRA
Last Name:WURR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:MYRA
Other - Last Name:BARINSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-2524
Mailing Address - Country:US
Mailing Address - Phone:641-682-0098
Mailing Address - Fax:641-682-1943
Practice Address - Street 1:301 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-2524
Practice Address - Country:US
Practice Address - Phone:641-682-0098
Practice Address - Fax:641-682-1943
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA053529363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner