# MISTY DEAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740715630
- **Authorized official:** MRS. MISTY D DEAN APRN-CNP (PRESIDENT)
- **Authorized official phone:** (405) 410-5675

## Contact information

- **Practice address:** 4401 SE 37TH ST, NORMAN, OK 73071-8138
- **Practice address phone:** (405) 410-5675
- **Practice address fax:** (405) 429-7522
- **Mailing address:** 4401 SE 37TH ST, NORMAN, OK 73071-8138
- **Mailing address phone:** (405) 410-5675
- **Mailing address fax:** (405) 429-7522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R0067385 | OK | Yes |

## Other

- **Enumeration date:** 04/27/2017
- **Last updated:** 08/11/2019