MEDICARE: AMY SPURRIER APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN79194-FNP-BC	WV

General Provider Information

NPI Number	:	1598249393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY SPURRIER APRN, FNP-BC

Provider Business Mailing Address
First Line	:	1429 COMMERCE ST UNIT 2
Second Line	:
City	:	WELLSBURG
State	:	WV
Zip	:	26070-1320
Country	:	US
Telephone Number	:	304-737-3425
Fax Number	:	304-737-2610

Provider Business Practice Location Address
First Line	:	1429 COMMERCE ST UNIT 2
Second Line	:
City	:	WELLSBURG
State	:	WV
Zip	:	26070-1320
Country	:	US
Telephone Number	:	304-737-3425
Fax Number	:	304-737-2610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	02/01/2024

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