Individual
STACIE C DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
110 E 60TH ST RM 704, NEW YORK, NY 10022-1799
(631) 323-6546
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(877) 205-0265
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
29481
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405817-01
NY
Other
Enumeration date
04/16/2021
Last updated
04/30/2026
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