Provider Demographics
NPI:1376031005
Name:SPURGIN, CHELSEA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:SPURGIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 942
Mailing Address - Street 2:
Mailing Address - City:BRADY
Mailing Address - State:TX
Mailing Address - Zip Code:76825-0942
Mailing Address - Country:US
Mailing Address - Phone:361-534-9895
Mailing Address - Fax:
Practice Address - Street 1:913 W 8TH ST
Practice Address - Street 2:
Practice Address - City:BRADY
Practice Address - State:TX
Practice Address - Zip Code:76825-5303
Practice Address - Country:US
Practice Address - Phone:361-534-9895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX797460163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse