Individual
ELIZABETH KNAIDE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 EDGARTOWN ROAD, OAK BLUFFS, MA 02557
(508) 693-7900
Mailing address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
(508) 696-0401
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN209524
MA
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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