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General NPI Number Information
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NPI Number | 1508620006
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Entity Type | Individual
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Provider Name | CRYSTAL ELIZABETH USREY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 615 SAINT GEORGE SQUARE CT STE 300
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1368
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Country | US
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Telephone | 888-279-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1455 NW LEARY WAY STE 400
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City | SEATTLE
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State | WA
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Zip | 98107-5138
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AP61614134
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5019603
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC007087
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 181523
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License Number State | AL
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