Regina Kay Spurlock, LPN
Individual provider Active NPI Licensed Practical Nurse · Zeigler, IL
NPI 1992954168 · NPPES record last updated Sep 12, 2008
Key facts
- NPI
- 1992954168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043077769 (IL)
- Practice address
- 27 Circle St
Zeigler, IL 62999-1148 - Phone
- (618) 596-2411
- NPI assigned
- Sep 12, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043077769 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043077769 | IL | Yes |
Addresses
Primary practice location
27 Circle St
Zeigler, IL 62999-1148
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2436
Other providers in Zeigler, IL
- Colonial Manor, Inc
- Convenient Medical Care Clinic LLC
- Heather Jo Gulley
- Christina Denise McClure
- Sherry Ann Risley
- Patricia K Vantrease
All providers in Zeigler, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.