Provider Demographics
NPI:1417307588
Name:VISK, DEAN (MSN RN)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:VISK
Suffix:
Gender:M
Credentials:MSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 DELTA AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-3145
Mailing Address - Country:US
Mailing Address - Phone:412-292-6635
Mailing Address - Fax:
Practice Address - Street 1:1078 DELTA AVE APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-3145
Practice Address - Country:US
Practice Address - Phone:412-292-6635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-290002163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse