Individual provider · Type 1 NPI
Michael Jason Dean, RN ANP
Adult Health Nurse Practitioner · O Fallon, MO
NPI number
1831167105
Active
Practice location
1400 Presidents Landing Dr
O Fallon, MO 63366-8475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 53-74934-022 (KS) |
| Registered Nurse | 163W00000X | 2000167996 (MO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2000167996 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1831167105
Michael Jason Dean, RN ANP's National Provider Identifier is 1831167105, issued on Mar 10, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in O Fallon, MO. The record was last updated on Nov 19, 2014.