Individual
BRAD RUSSELL DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1236 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 585-1700
(336) 585-1771
Mailing address
1408 SAND HOLLOW CIR, WAKE FOREST, NC 27587-3810
(919) 761-8660
(919) 496-1622
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
162885
NC
367500000X
Certified Registered Nurse Anesthetist
520570-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520570-1
LICENSE
NY
Enumeration date
12/07/2005
Last updated
09/07/2023
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