Provider Demographics
NPI:1184237844
Name:SPOUSTA, ERIN A (NP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:A
Last Name:SPOUSTA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N CAPITAL OF TEXAS HWY STE A180
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3224
Mailing Address - Country:US
Mailing Address - Phone:512-306-1100
Mailing Address - Fax:
Practice Address - Street 1:3600 N CAPITAL OF TEXAS HWY STE A180
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-3224
Practice Address - Country:US
Practice Address - Phone:512-306-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1003048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily