Provider Demographics
NPI:1922314863
Name:SPURLING, ANDREA B (APN)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:B
Last Name:SPURLING
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E STADIUM
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-2651
Mailing Address - Country:US
Mailing Address - Phone:870-234-5995
Mailing Address - Fax:870-234-0278
Practice Address - Street 1:211 E STADIUM
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-2651
Practice Address - Country:US
Practice Address - Phone:870-234-5995
Practice Address - Fax:870-234-0278
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03427ANP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily