Individual provider · Type 1 NPI

Shannon Victoria Drake

Psychiatric/Mental Health Nurse Practitioner · Cortland, NY

NPI number 1578827341 Active

Practice location

10 N Main St
Cortland, NY 13045

Mailing address

5776 Howell Rd
Locke, NY 13092

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X401477 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1578827341

Shannon Victoria Drake's National Provider Identifier is 1578827341, issued on Jun 27, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cortland, NY. The record was last updated on Sep 25, 2013.