Provider Demographics
NPI:1215616727
Name:GAWUM, DEAN F (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:F
Last Name:GAWUM
Suffix:
Gender:M
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14808 KEAVY RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-5404
Mailing Address - Country:US
Mailing Address - Phone:703-586-5665
Mailing Address - Fax:
Practice Address - Street 1:14808 KEAVY RIDGE CT
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-5404
Practice Address - Country:US
Practice Address - Phone:703-586-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187528363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health