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Individual

DANA DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(239) 398-0484
Mailing address
11045 SMOKEY DR, BONITA SPRINGS, FL 34135-5808
(919) 622-9571

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9432994
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102786
NC
Enumeration date
07/05/2006
Last updated
06/26/2020
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