Provider Demographics
NPI:1124124219
Name:DEAN, DIANE LIND (RXNCS)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:LIND
Last Name:DEAN
Suffix:
Gender:F
Credentials:RXNCS
Other - Prefix:
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Mailing Address - Street 1:2121 S ONEIDA ST
Mailing Address - Street 2:SUITE #634
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2549
Mailing Address - Country:US
Mailing Address - Phone:303-756-7163
Mailing Address - Fax:303-756-6333
Practice Address - Street 1:2121 S ONEIDA ST
Practice Address - Street 2:SUITE #634
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2549
Practice Address - Country:US
Practice Address - Phone:303-756-7163
Practice Address - Fax:303-756-6333
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO#41680363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health