| Clista Dean, CNP | |
|
625 W Waterloo St, Ste 210b, Canal Winchester, OH 43110 | |
| (614) 955-3430 | |
| (614) 533-0465 |
| Full Name | Clista Dean |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 625 W Waterloo St, Canal Winchester, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467811695 | NPI | - | NPPES |
| 0158584 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.18805 (Ohio) | Primary |
| Entity Name | Samaritan Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659503886 PECOS PAC ID: 5092608372 Enrollment ID: O20040203000210 |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Clista Dean, CNP Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Clista Dean, CNP 625 W Waterloo St, Ste 210b, Canal Winchester, OH 43110 Ph: (614) 955-3430 |
Ms. Anta Fall Sow, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6631 Bricegrove Blvd, Canal Winchester, OH 43110 Phone: 614-307-0368 | |
Mrs. Marina Eller, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3620 Gender Rd, Canal Winchester, OH 43110 Phone: 148-293-0156 | |
Mrs. Traci Mari Conroy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7884 Mountain Ash Ln, Canal Winchester, OH 43110 Phone: 614-439-4095 | |
Mr. Casey Craig Counts, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6466 Fox Hill Dr, Canal Winchester, OH 43110 Phone: 419-236-6185 | |
Kari Rene Davidson, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7901 Diley Rd Ste 260, Canal Winchester, OH 43110 Phone: 614-920-1000 | |
Nakkia Cosby, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5431 Coble Meadows Ln, Canal Winchester, OH 43110 Phone: 567-201-0953 Fax: 567-201-0953 | |
Marisa Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 Gender Rd, Canal Winchester, OH 43110 Phone: 614-829-3015 |