Gina Renae Dean, RN, BSN,
Individual provider Active NPI Registered Nurse · Beaver, WV
NPI 1740014760 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1740014760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 49515 (WV)
- Practice address
- 113 Musick LN
Beaver, WV 25813-9193 - Phone
- (304) 719-3488
- NPI assigned
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49515 | WV | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 49515 | WV | Yes |
Addresses
Primary practice location
113 Musick LN
Beaver, WV 25813-9193
Mailing address
113 Musick LN
Beaver, WV 25813-9193
Phone (304) 719-3488
Other providers in Beaver, WV
- Jateiya Cross
- Mousa I Dababnah
- David McCormack DDS
- Kathy Davis Hudnall
- Lisa M Davis
- Kenneth Gail Dilley
- Amanda Rene Duesing
- Janelle Carey Dunn
- Sherry L Duvall
- Kelly Edwards
All providers in Beaver, WV · Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.