Individual
ELIZABETH COOK DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
140 PROFESSIONAL PARK DR, CONWAY, SC 29526-9260
(843) 234-5678
(843) 234-4567
Mailing address
140 PROFESSIONAL PARK DR, CONWAY, SC 29526-9260
(843) 234-5678
(843) 234-4567
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN 2596
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0897
—
SC
Enumeration date
10/11/2006
Last updated
02/09/2011
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