Provider Demographics
NPI:1689558793
Name:YOUNGBLOOD, BARBARA MARIE
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARIE
Last Name:YOUNGBLOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:MARIE
Other - Last Name:WIRTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:87058 494TH AVE LOT 15
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-4684
Mailing Address - Country:US
Mailing Address - Phone:402-336-7670
Mailing Address - Fax:
Practice Address - Street 1:87058 494TH AVE LOT 15
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-4684
Practice Address - Country:US
Practice Address - Phone:402-336-7670
Practice Address - Fax:402-336-7670
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider