Individual
STACEY DRAHUSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6770 MAYFIELD ROAD, MAYFIELD HEIGHTS, OH 44124-2299
(440) 312-2229
(440) 312-7725
Mailing address
6770 MAYFIELD ROAD, MAYFIELD HEIGHTS, OH 44124
(440) 312-2229
(440) 312-7725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN327805
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
16518NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110951
—
OH
Enumeration date
09/22/2014
Last updated
07/01/2016
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