Individual provider · Type 1 NPI

Erica Kathleen Drake, NP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1366635302 Active

Practice location

516 Delaware St SE, 4-100 Pwb, Clinic 4A
Minneapolis, MN 55455-0356

Call (612) 626-6777 Map

Mailing address

420 Delaware St SE, Mmc 484
Minneapolis, MN 55455-0341

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR-161262-0 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366635302

Erica Kathleen Drake, NP's National Provider Identifier is 1366635302, issued on Aug 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 23, 2007.