Individual provider · Type 1 NPI
Willard C. Spurlock
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Dyer, IN
NPI number
1407715600
Active
Practice location
14901 W 102nd Ave
Dyer, IN 46311-7750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 28268894C (IN) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1407715600
Willard C. Spurlock's National Provider Identifier is 1407715600, issued on Jan 21, 2026. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Dyer, IN. The record was last updated on Jan 21, 2026.