Provider Demographics
NPI:1932531027
Name:DEAN, VERONICA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:DEAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 HIGHLAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-5077
Mailing Address - Country:US
Mailing Address - Phone:214-450-5323
Mailing Address - Fax:
Practice Address - Street 1:1650 E STACY RD STE 160
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8846
Practice Address - Country:US
Practice Address - Phone:214-726-9098
Practice Address - Fax:972-727-0842
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX329645101Medicaid
TX329645101Medicaid
TX327175YKP5Medicare PIN