Provider Demographics
NPI:1912521014
Name:DEAN, TODD EDMOND (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:EDMOND
Last Name:DEAN
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HILL RD N
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8659
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:508-630-0222
Practice Address - Street 1:1100 HILL RD N
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8659
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:508-630-0222
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNP.APRN.0026799207Q00000X
OHAPRN.CNP.0026799363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily