MS. THEO L DEAN RN
NPI 1104171461
Registered Nurse in Syracuse, NY

Q: What is Theo Dean's NPI number?

The NPI number for Theo Dean is 1104171461. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Q: What is Theo Dean's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Theo Dean was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2012

2105 W GENESEE ST, SYRACUSE, NY 13219(315) 468-3239(315) 468-2917 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Theo L Dean Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THEO L DEAN RN (NPI 1104171461) is an individual registered nurse in Syracuse, New York, licensed in New York (358632) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1104171461

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMS. THEO L DEANCredential: RN

Location Address2105 W GENESEE STSyracuse, NY 13219-1698

Mailing Address13 State StSkaneateles, NY 13152-1233 · (315) 559-1168

Phone(315) 468-3239

Fax(315) 468-2917

Sole ProprietorNo

Enumeration DateJuly 23, 2012

✔ NPI 1104171461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NY · 358632

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2105 W GENESEE ST, Syracuse, NY 13219

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Other Identifiers 1

Other358632NY · Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RANDALL STETSON LCSW

Social Worker (Clinical)

2105 W GENESEE ST, STE 209
SYRACUSE, NY 13219

Onondaga County (315) 395-2893

ANGELA D BOOKER LPN

Licensed Practical Nurse