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Individual

MR. DAVID M DRANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
16105 MANCHESTER RD, ELLISVILLE, MO 63011-2001
(314) 687-2718
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-1435

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201300508
MO
363LF0000X
Family Nurse Practitioner
5762
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000006593444
ANTHEM
KY
01
3551693000
PASSPORT ADVANTAGE
KY
01
50021406
PASSPORT
KY
05
7100059850
KY
Enumeration date
10/09/2008
Last updated
10/21/2020
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