Individual
MRS. ANITA L DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,FNP
Contact information
Practice address
1255 HIGHWAY 327 E, SILSBEE, TX 77656-6007
(409) 384-8990
Mailing address
3406 COLLEGE ST, STE 200, BEAUMONT, TX 77701-4612
(409) 813-1677
(409) 232-0559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP109650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571660
RN LICENSE
TX
Enumeration date
02/27/2006
Last updated
03/08/2017
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