Individual provider · Type 1 NPI
Kelly Drake, PNP
Pediatric Nurse Practitioner · Aurora, CO
NPI number
1972810778
Active
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 990012 (CO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1972810778
Kelly Drake, PNP's National Provider Identifier is 1972810778, issued on Sep 1, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Oct 27, 2012.