Individual
KIRSTIN D DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP6237
MN
363LF0000X
Family Nurse Practitioner
9641-33
WI
Other
Enumeration date
10/19/2018
Last updated
12/20/2021
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