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NPI 1366327298

NPI 1366327298 : ASHLEY BRUGMANN PMHNP : RAVENNA, OH

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General NPI Number Information
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    NPI Number           |    1366327298
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASHLEY BRUGMANN PMHNP 
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Dates
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    Enumeration Date     |    08/08/2025
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    Last Update Date     |    08/08/2025
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Provider Practice Location Address
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    Address Line         |    2980 WORK RD 
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    City                 |    RAVENNA
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    State                |    OH
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    Zip                  |    44266-8324
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    Country              |    US
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    Telephone            |    330-357-7023
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    Fax                  |    330-975-6483
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Provider Business Mailing Address
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    Address Line         |    2980 WORK RD 
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    City                 |    RAVENNA
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    State                |    OH
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    Zip                  |    44266-8324
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    Country              |    US
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    Telephone            |    330-357-7023
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/NURSE PRACTITIONER
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    Name                 |     ASHLEY L BRUGMANN 
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    Credential           |    PMHNP
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    Telephone            |    330-357-7023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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