Individual
DIANE ZADRA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN 53-74199-102
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100337790A
—
KS
Enumeration date
09/02/2006
Last updated
03/12/2012
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