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1851831556 NPI number — DEWAN ELIZABETH SMITH-MURRAY BSN, RN, MSN,PMHAPRN

NPI Number: 1851831556
Health Care Provider/Practitioner: DEWAN ELIZABETH SMITH-MURRAY BSN, RN, MSN,PMHAPRN

Information about “1851831556” NPI (DEWAN ELIZABETH SMITH-MURRAY BSN, RN, MSN,PMHAPRN) exists in 1851831556 in HTML format HTML  |  1851831556 in plain Text format TXT  |  1851831556 in PDF (Portable Document Format) PDF  |  1851831556 in an XML format XML  formats.

NPI Number : 1851831556 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851831556",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH-MURRAY",
    "FirstName": "DEWAN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BSN, RN, MSN,PMHAPRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMITH-WILLIAMS",
    "OtherFirstName": "DEWAN",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "SAME AS ABOVE",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "575 WOODVIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AKRON",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44319-1343",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-595-9929",
    "MailingAddressFaxNumber": "845-859-8649",
    "FirstLinePracticeLocationAddress": "3094 W MARKET ST STE 190",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRLAWN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44333-3626",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-595-9929",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/28/2017",
    "LastUpdateDate": "05/25/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "APRN.CNP.022060",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": "RN250602",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": "018683",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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