Individual
SYREETA DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
233 FULTON ST E STE 124, GRAND RAPIDS, MI 49503-3262
(616) 805-3890
Mailing address
233 FULTON ST E STE 124, GRAND RAPIDS, MI 49503-3262
(616) 805-3890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024009011
MI
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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