Doctor Name: | CATHRYN DIANN DRAPER |
NPI Number: | 1003986696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP3708 |
Business Practice Address: | 1515 E Cedar Ave Ste A-3 Flagstaff, AZ - 860041630 |
Business Phone Number: | 9287742788 |
Business Fax Number: | 9287740123 |
Mailing Address: | 1515 E Cedar Ave Ste A-3, FLAGSTAFF |
State: | AZ |
Postal Code: | 860041630 |
Phone Number: | 9287742788 |
Fax Number: | 9287740123 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP3708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |