Provider Demographics
NPI:1851831556
Name:SMITH-MURRAY, DEWAN ELIZABETH (BSN, RN, MSN,PMHAPRN)
Entity Type:Individual
Prefix:
First Name:DEWAN
Middle Name:ELIZABETH
Last Name:SMITH-MURRAY
Suffix:
Gender:F
Credentials:BSN, RN, MSN,PMHAPRN
Other - Prefix:
Other - First Name:DEWAN
Other - Middle Name:ELIZABETH
Other - Last Name:SMITH-WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SAME AS ABOVE
Mailing Address - Street 1:575 WOODVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-1343
Mailing Address - Country:US
Mailing Address - Phone:330-595-9929
Mailing Address - Fax:845-859-8649
Practice Address - Street 1:3094 W MARKET ST STE 190
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3626
Practice Address - Country:US
Practice Address - Phone:330-595-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022060363LP0808X
OHRN250602163WP0808X
OH018683261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)