| Doctor Name: | RITA DRAHEIM |
| NPI Number: | 1265491773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 657 |
| Business Practice Address: | 805 Frontage Rd Suite 200 B Kenai, AK - 996117755 |
| Business Phone Number: | 9072839306 |
| Business Fax Number: | 9072839308 |
| Mailing Address: | 805 Frontage Rd, Suite 200 B KENAI |
| State: | AK |
| Postal Code: | 996117755 |
| Phone Number: | 9072839306 |
| Fax Number: | 9072839308 |
| NPI Enumeration Date: | 03/22/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |