Doctor Name: | MRS. ASHLEE MAE DRAKE |
NPI Number: | 1659716322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-097676 |
Business Practice Address: | 310 Pine St Nw Ste A Hartselle, AL - 356402316 |
Business Phone Number: | 2567732979 |
Business Fax Number: | |
Mailing Address: | 440 County Road 295, CULLMAN |
State: | AL |
Postal Code: | 350574092 |
Phone Number: | 2565907088 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2013 |
NPI Last Update Date: | 04/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-097676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |