Healthcare Provider Details

I. General information

NPI: 1437167723
Provider Name (Legal Business Name): LOURDES ELIZABETH SPITLER APRN, BC, CEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LEBANON RD MEDICAL SERVICE DEPARTMENT
MURFREESBORO TN
37129-1237
US

IV. Provider business mailing address

211 ROYAL GLEN BLVD
MURFREESBORO TN
37128-3722
US

V. Phone/Fax

Practice location:
  • Phone: 615-893-1360
  • Fax: 615-867-5546
Mailing address:
  • Phone: 615-217-1214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN0000005986
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: