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Individual

ASHLEY LYNN DRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1095 PINGREE RD STE 108, CRYSTAL LAKE, IL 60014-1726
(815) 459-6655
Mailing address
1095 PINGREE RD STE 108, CRYSTAL LAKE, IL 60014-1726
(815) 459-6655

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041467348
IL
363LF0000X
Family Nurse Practitioner
Primary
209027377
IL

Other

Enumeration date
05/30/2023
Last updated
12/03/2023
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