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Kimberly A Drake, NP
Adult Health Nurse Practitioner in Marrero, Louisiana
NPI 1174580245

Kimberly A Drake is an Adult Health Nurse Practitioner based in Marrero, LA and is specialized in Adult Health. Kimberly A Drake practices in Marrero, LA and has the professional credentials of NP. The NPI Number for Kimberly A Drake is 1174580245 and holds a License No. 905286 (Louisiana).

The current practice location address for Kimberly A Drake is 1151 Barataria Blvd, Marrero, LA and can be reached out via phone at 504-349-6401.

Location: 1151 Barataria Blvd, Marrero, LA, 70072-3044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174580245
Provider Name
Kimberly A Drake
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1151 Barataria Blvd, Marrero, LA, 70072-3044
Phone Number
504-349-6401
Fax Number
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05809264 05 MS
1461083 05 LA
institution
Provider Business Practice Location Address Details
Address
1151 Barataria Blvd
City
Marrero
State
Louisiana
Zip
70072-3044
Phone Number
504-349-6401
Fax Number
person
Provider Business Mailing Address Details
Address
1151 Barataria Blvd
City
Marrero
State
Louisiana
Zip
70072-3044
Phone Number
504-349-6401
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
RN061743 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
905286 (Mississippi)
Definition
Definition to come...
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