Individual
MRS. DIXIE L DRAPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14000 N PORTLAND AVE STE 102, OKLAHOMA CITY, OK 73134
(405) 418-4800
(405) 418-4820
Mailing address
PO BOX 272605, OKLAHOMA CITY, OK 73137-2605
(405) 418-4800
(405) 418-4820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0067878
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
67878
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100788700A
—
OK
01
—
611281600
DOL
OK
01
—
P00415506
MEDICARE RR
OK
Enumeration date
04/25/2006
Last updated
07/21/2022
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