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NPI Code Detail

MEDICARE: TODD EDMOND DEAN MSN, APRN, FNP-C

MEDICARE: TODD EDMOND DEAN MSN, APRN, FNP-C
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
1207Q00000XFamily Medicine PhysicianCNP.APRN.0026799OH
2363L00000XNurse PractitionerAPRN.CNP.0026799OH
3363LF0000XFamily Nurse PractitionerAPRN.CNP.0026799OH

General Provider Information

NPI Number : 1912521014
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD EDMOND DEAN MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 1100 HILL RD N
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-8659
Country : US
Telephone Number : 866-389-2727
Fax Number : 508-630-0222
Provider Business Practice Location Address
First Line : 1100 HILL RD N
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-8659
Country : US
Telephone Number : 866-389-2727
Fax Number : 508-630-0222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2020
Last Update Date : 10/13/2025

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