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NPI Code Detail

MEDICARE: MICHELLE DEAN

MEDICARE: MICHELLE DEAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0200XPediatric Registered Nurse811787TX

General Provider Information

NPI Number : 1972439636
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DEAN
Provider Business Mailing Address
First Line : 1101 GARDEN ISLE DR
Second Line :
City : IRVING
State : TX
Zip : 75060-7714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 8TH AVE STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2500
Country : US
Telephone Number : 682-885-2170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ MICHELLE DEAN ” Practice Location

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