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FAIRBORN MENTAL HEALTH LLC NPI 1669978656


NPI Information

NPI: 1669978656
Provider Name: FAIRBORN MENTAL HEALTH LLC

Doing Business As: FAIRBORN MENTAL HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
323 N BROAD ST
FAIRBORN, OH
ZIP 45324
Phone: (937) 318-8103
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FAIRBORN MENTAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Fairborn, OH. FAIRBORN MENTAL HEALTH LLC NPI is 1669978656. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fairborn Mental Health.

The provider's business location address is:

323 N BROAD ST
FAIRBORN, OH
ZIP 45324-934
Phone: (937) 318-8103
Fax: (937) 867-5268

The provider's authorized official is Sheila R Dunn .
The authorized official title is Owner and has the following contact phone number (937) 768-6867.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 3/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.18073OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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