Kimberly A Drake, NP
Nurse Practitioner, Adult Health in Marrero, LA. Individual provider (NPI-1).
NPI number1174580245
StatusActive
Last updated in NPPESApr 20, 2023
Details
- NPI
- 1174580245
- Entity type
- Individual (NPI-1)
- Name
- Kimberly A Drake
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Certification date
- Apr 20, 2023
- Last updated
- Apr 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AP04449 | LA | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 905286 | MS | |
| 363LF0000X | Nurse Practitioner, Family | RN061743 | LA | |
| 363LF0000X | Nurse Practitioner, Family | 905286 | MS |
Practice location
1151 Barataria BlvdMarrero, LA 70072-3044
Phone 504-349-6401
Mailing address
1151 Barataria BlvdMarrero, LA 70072-3044
Phone 504-349-6401
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