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Shannon Victoria Drake
Psychiatric/Mental Health Nurse Practitioner in Cortland, New York
NPI 1578827341

Shannon Victoria Drake is a Psychiatric/Mental Health Nurse Practitioner based in Locke, NY and is specialized in Psychiatric/Mental Health. Shannon Victoria Drake practices in Cortland, NY. The NPI Number for Shannon Victoria Drake is 1578827341 and holds a License No. 401477 (New York).

The current practice location address for Shannon Victoria Drake is 10 N Main St, Cortland, NY and can be reached out via phone at 607-753-0234.

Location: 10 N Main St, Cortland, NY, 13092
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578827341
Provider Name
Shannon Victoria Drake
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 N Main St, Cortland, NY, 13092
Phone Number
607-753-0234
Fax Number
Provider Enumeration Date
06/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 N Main St
City
Cortland
State
New York
Zip
13045
Phone Number
607-753-0234
Fax Number
person
Provider Business Mailing Address Details
Address
10 N Main St
City
Cortland
State
New York
Zip
13045
Phone Number
607-753-0234
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
401477 (New York)
Definition
Definition to come...
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