Individual
MARYANN B DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 342-3000
(251) 342-3043
Mailing address
PO BOX 851417, MOBILE, AL 36685-1417
(251) 342-3000
(251) 342-3043
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1102362
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116259
MEDICAID AOC
AL
05
—
116346
—
AL
01
—
51102137
BCBS OF AL SMC
AL
01
—
51102138
BCBS OF AL AOC
AL
Enumeration date
12/29/2009
Last updated
05/26/2010
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