IndividualActive
Willard Spurlock
NPI 1407715600 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Dyer, IN
Provider details
- NPI number
- 1407715600
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 28268894C (IN)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 28268894C (IN)
Nursing Service Providers
Practice location
14901 W 102nd Ave
Dyer, IN 46311-7750
Phone: (708) 271-0390
Approximate (ZIP-level) locationGet directions
Mailing address
14901 W 102nd Ave
Dyer, IN 46311-7750
Registry dates
- Enumerated
- 2026-01-21
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.