Healthcare Provider Details

I. General information

NPI: 1669306486
Provider Name (Legal Business Name): KATIE SPURLIN BOWERS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 N MAIN ST
OPP AL
36467-1632
US

IV. Provider business mailing address

29037 COOL SPRINGS RD
OPP AL
36467-5334
US

V. Phone/Fax

Practice location:
  • Phone: 334-493-3240
  • Fax:
Mailing address:
  • Phone: 334-343-0710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-182195
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: