Healthcare Provider Details

I. General information

NPI: 1174018428
Provider Name (Legal Business Name): CATHERINE ANNE DEAN-HAIDET CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 06/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MCCONNELL RD
COLUMBUS OH
43214-3463
US

IV. Provider business mailing address

5400 FRANTZ RD STE 250
DUBLIN OH
43016-6102
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-5377
  • Fax:
Mailing address:
  • Phone: 614-544-6161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN.CNS.03306
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: