Provider Demographics
NPI:1881613222
Name:DEAN, LEONA (RNCS)
Entity type:Individual
Prefix:MRS
First Name:LEONA
Middle Name:
Last Name:DEAN
Suffix:
Gender:F
Credentials:RNCS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:451 ANDOVER ST
Mailing Address - Street 2:SUITE #195
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5044
Mailing Address - Country:US
Mailing Address - Phone:978-685-8800
Mailing Address - Fax:978-685-8808
Practice Address - Street 1:451 ANDOVER ST
Practice Address - Street 2:SUITE #195
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5044
Practice Address - Country:US
Practice Address - Phone:978-685-8800
Practice Address - Fax:978-685-8808
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA155814364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health