NPI 1366635302 · live from the CMS NPI Registry
Erica Kathleen Drake, NP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1366635302, active.
NPI record
| NPI | 1366635302 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 516 Delaware St Se, 4-100 Pwb, Clinic 4a, Minneapolis, MN 55455 |
| Practice phone | 612-626-6777 |
| Mailing address | 420 Delaware St Se, Mmc 484, Minneapolis, MN 55455 |
| Enumerated | August 23, 2007 |
| Last updated | August 23, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R-161262-0 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.