HAVILAH R. SPURLOCK


Address: 3676 Parker Blvd, Pueblo, CO 81008-2212
Phone: 7195532200

HAVILAH R. SPURLOCK (NPI# 1023658713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023658713
Entity Type Individual
Full Name HAVILAH R. SPURLOCK
Credential FNP-C
Practice Address 3676 Parker Blvd
Pueblo
CO 81008-2212
Mailing Address 6292 Galbreth Rd
Pueblo
CO 81005-9628
Practice Telephone 7195532200
Mailing Telephone 7194694001
Enumeration Date 2020-01-09
Last Update Date 2020-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN.0995255-NP CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3676 PARKER BLVD
City PUEBLO
State CO
Zip Code 81008-2212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001700 Stephen D Bast Physician Assistant 3676 Parker Blvd, Pueblo, CO 81008-2212 2005-05-24
1255945960 Jessica Marie Anaya Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2020-09-01
1033625314 Jennifer Livingston Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2017-12-21
1588176341 Kenneth Morris Physical Medicine & Rehabilitation 3676 Parker Blvd, Pueblo, CO 81008-2212 2017-11-01
1053770370 Parkview Medical Center, Inc Clinic/Center 3676 Parker Blvd, Suite 140, Pueblo, CO 81008-2212 2016-02-15
1124495163 Kyle Sanders Physical Therapist 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 2015-08-25
1588057319 James Richard Anderson Physician Assistant 3676 Parker Blvd, Pueblo, CO 81008-2212 2015-03-18
1942600150 Adam Jennings Physical Therapist 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 2014-08-26
1023425386 Amanda C Fadenrecht Nurse Practitioner 3676 Parker Blvd, Suite 260, Pueblo, CO 81008-2212 2014-07-18
1962831354 Samuel Lawrence Widdowson Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2013-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164058913 Healthone Clinic Services - Oncology Hematology LLC Internal Medicine 3678 Parker Blvd, Pueblo, CO 81008 2020-03-12
1073026423 Carmel Community Living Corporation Respite Care 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 2017-11-08
1568987121 Hannah Vivian Roadruck Pharmacist 4200 Dillon Dr., Pueblo, CO 81008 2017-08-04
1184170425 Brett Burana Dentist 729 Us-50, Pueblo, CO 81008 2016-08-28
1760832885 Irby Dental Cottage Dental Hygienist 2099 West St # 50, Suite 180, Pueblo, CO 81008 2016-06-20
1649624362 Curley Peak Dentistry Pllc Dentist 1640 W Fortino Blvd, Pueblo, CO 81008 2016-04-19
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1407211931 Center At Park West, LLC Skilled Nursing Facility 3727 Parker Blvd., Pueblo, CO 81008 2015-12-29
1417327461 Nicole Betts Registered Nurse 1310 Fortino Blvd Ste D, Pueblo, CO 81008 2015-10-02
1437578028 Pueblo Modern Dentistry and Orthodontics, LLP Dentist 727 Us Hwy 50 West, Pueblo, CO 81008 2014-04-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932708872 Carla E Paredes Diaz Nurse Practitioner 2215 South Dr, Pueblo, CO 81008-1755 2020-10-21
1902435506 Brandi Lanae Trujillo Nurse Practitioner 3107 E Spaulding Ave Unit 202, Pueblo, CO 81008-5219 2020-04-06
1346883097 Parkview Ancillary Services Nurse Practitioner 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 2019-10-25
1326535618 Amanda Michelle Meade Nurse Practitioner 201 Lamkin St Apt 101, Pueblo, CO 81003-3558 2018-04-23
1316456981 Amy R Leibli Nurse Practitioner 1080 Chinook Lane, Pueblo, CO 81001 2017-09-26
1255865713 Ideal Family Medicine, Ltd Nurse Practitioner 2016 S Pueblo Blvd, Pueblo, CO 81005-2546 2017-04-11
1154861995 Jade Bryant Nurse Practitioner 1910 Lake Ave, Pueblo, CO 81004-3322 2017-02-27
1558811950 Jane Graham Nurse Practitioner 1225 N Grand Ave, Pueblo, CO 81003-2845 2016-10-10
1124397559 Michelle Leann Hartke Nurse Practitioner 1619 N Greenwood St Ste 208, Pueblo, CO 81003-2656 2011-12-14
1609008796 Laura Ann Mcmahon Nurse Practitioner 4020 Jerry Murphy Rd/, Pueblo, CO 81001 2009-08-21
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Competitor

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City PUEBLO
Zip Code 81008

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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