Individual
RACHEL DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,RN,MS,RD, PNP-BC
Contact information
Practice address
414 HIGH ST, MIDDLETOWN, CT 06457-2633
(860) 759-3733
Mailing address
414 HIGH ST, MIDDLETOWN, CT 06457-2633
(860) 759-3733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
917
CT
163W00000X
Registered Nurse
183740
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
12210
CT
Other
Enumeration date
09/21/2009
Last updated
08/25/2023
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