Individual
ERICA KATHLEEN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
516 DELAWARE ST SE, 4-100 PWB, CLINIC 4A, MINNEAPOLIS, MN 55455-0356
(612) 626-6777
Mailing address
420 DELAWARE ST SE, MMC 484, MINNEAPOLIS, MN 55455-0341
(612) 626-6777
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R-161262-0
MN
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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