Individual
ALYSSA ANN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 N 2260 W, HURRICANE, UT 84737-2034
(435) 635-6500
(435) 635-6549
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
6422358-3102
UT
363L00000X
Nurse Practitioner
Primary
6422358-4405
UT
Other
Enumeration date
11/22/2017
Last updated
12/08/2021
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