Provider Demographics
NPI:1114560075
Name:SPURLIN, KIMBERLEE ERIN (MSN, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLEE
Middle Name:ERIN
Last Name:SPURLIN
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29326 DOBBIN HUFFSMITH RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6468
Mailing Address - Country:US
Mailing Address - Phone:281-703-0886
Mailing Address - Fax:
Practice Address - Street 1:17350 ST LUKES WAY STE 330
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4103
Practice Address - Country:US
Practice Address - Phone:713-798-7717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143668363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care