| Doctor Name: | OLIVIA SUELLEN DRAKE |
| NPI Number: | 1568513976 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 040811-23-03 |
| Business Practice Address: | 103 1st Nh Tpke Northwood, NH - 032613503 |
| Business Phone Number: | 6039425694 |
| Business Fax Number: | 6039428194 |
| Mailing Address: | Po Box 194, W NOTTINGHAM |
| State: | NH |
| Postal Code: | 032910194 |
| Phone Number: | 6036086192 |
| Fax Number: | 6039428194 |
| NPI Enumeration Date: | 01/13/2007 |
| NPI Last Update Date: | 11/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 040811-23-03 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |