Provider Demographics
NPI:1760358063
Name:DEMUTH, ANNA J
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:J
Last Name:DEMUTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-1174
Mailing Address - Country:US
Mailing Address - Phone:319-472-2091
Mailing Address - Fax:319-472-5629
Practice Address - Street 1:704 W 4TH ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1174
Practice Address - Country:US
Practice Address - Phone:319-472-2091
Practice Address - Fax:319-472-5629
Is Sole Proprietor?:No
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic