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Contact Information

CLISTA DEAN, CNP
625 W WATERLOO ST
STE 210B
CANAL WINCHESTER, OH43110
 Phone: 614-955-3430
 Fax: 614-533-0465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CLISTA DEAN · (Female)

NPI # 1467811695
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 02/16/2016
Last updated 03/25/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.18805
  • OH Medicaid 0158584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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