Individual
AMANDA KAY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33401-2710
(561) 657-4600
(561) 657-4605
Mailing address
PO BOX 22250, NEW YORK, NY 10087-0001
(844) 268-4820
(631) 201-3179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
5055A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9204406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308012900
—
FL
01
—
APRN9204406
STATE LICENSE
FL
01
—
G4116
BCBS
FL
01
—
P00391880
MEDICARE RAILROAD
FL
01
—
RN9204406
STATE LICENSE
FL
01
—
U8943Y
MEDICARE GTBA REASSIGN
FL
Enumeration date
10/18/2006
Last updated
09/27/2024
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