Individual
NICOLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 W MAIN ST, CUBA, NY 14727-1403
(585) 968-1628
Mailing address
218 WHITE OAK DR, ALLEGANY, NY 14706-1136
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30307259
NY
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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