Individual
SHELBY NICOLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
727 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 353-5704
Mailing address
2692 S ADAMS ST APT 3, BLOOMINGTON, IN 47403-4441
(260) 228-0214
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003006A
IN
133V00000X
Registered Dietitian
86036774
IN
Other
Enumeration date
03/23/2020
Last updated
10/19/2020
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