Provider Demographics
NPI:1770397788
Name:GUOAN, DEAN EDWARD (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:EDWARD
Last Name:GUOAN
Suffix:
Gender:M
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5599 E STATE RD
Mailing Address - Street 2:
Mailing Address - City:HALE
Mailing Address - State:MI
Mailing Address - Zip Code:48739-9100
Mailing Address - Country:US
Mailing Address - Phone:989-254-7578
Mailing Address - Fax:
Practice Address - Street 1:5599 E STATE RD
Practice Address - Street 2:
Practice Address - City:HALE
Practice Address - State:MI
Practice Address - Zip Code:48739-9100
Practice Address - Country:US
Practice Address - Phone:989-254-7578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704298868363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner