Doctor Name: | MS. CYNTHIA DEAN |
NPI Number: | 1023011814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APN 7366 |
Business Practice Address: | 111 W Stone Dr Suite 100 Kingsport, TN - 376606027 |
Business Phone Number: | 4232475197 |
Business Fax Number: | 4232475254 |
Mailing Address: | 111 W Stone Dr, Suite 100 KINGSPORT |
State: | TN |
Postal Code: | 376606027 |
Phone Number: | 4232475197 |
Fax Number: | 4232475254 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN 7366 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |