SUELLEN O DRAKE (NPI# 1568513976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568513976 |
Entity Type | Individual |
Full Name | SUELLEN O DRAKE |
Other Name | OLIVIA SUELLEN DRAKE |
Credential | APRN |
Practice Address |
13 Jenkins Ct Ste 247 Durham NH 03824 |
Mailing Address |
Po Box 924 Durham NH 03824-0924 |
Practice Telephone | 6039425694 |
Practice Fax Number | 6039428194 |
Mailing Telephone | 6036086192 |
Mailing Fax Number | 6039428194 |
Enumeration Date | 2007-01-13 |
Last Update Date | 2018-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
04081123 | NH | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
103 1st Nh Tpke, Northwood, NH 032613503 | 6039425694 | 6039428194 |
1913 Dover Rd, Epsom, NH 032344128 | 6039425694 | 6039428194 |
Street Address |
13 JENKINS CT STE 247 |
City | DURHAM |
State | NH |
Zip Code | 03824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699170191 | Allegiant Physical Therapy LLC | Physical Therapist | 7b Mill Road, Durahm, NH 03824 | 2014-10-27 |
1639443872 | Joan Hastings Glutting | Psychologist | 8 Palmer Drive, Durham, NH 03824 | 2012-03-06 |
1851598197 | Kate Elizabeth Stimmell | Occupational Therapist | 312 Morrill Hall, 180 Main Street, University of New Hampshire, Durham, NH 03824 | 2007-06-29 |
1366659443 | C. Patricia Hanley | Psychologist | 13 Jenkins Ct #230 A, Durham, NH 03824 | 2007-05-17 |
1245445642 | Oyster River Cooperative School District | Local Education Agency (LEA) | 36 Coe Drive, Durham, NH 03824 | 2007-05-11 |
1477765956 | Randal George Heller | Pharmacist | 170 Tolend Rd., Barrington, NH 03824 | 2007-05-04 |
1073652228 | Carollyn Federico | Social Worker | 20 Madbury Road, Durham, NH 03824 | 2007-02-05 |
1265531537 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 5 Mill Road, Unit G, Durham, NH 03824 | 2006-09-22 |
1003911082 | Wesley A Merritt | Chiropractor | 13 Jenkins Ct, Durham, NH 03824 | 2006-09-14 |
1366474165 | Mary Jane Sullivan | Audiologist | 4 Library Way, Durham, NH 03824 | 2006-07-06 |
Find all providers in zip 03824 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
1306460340 | Francia Elena Marin | Nurse Practitioner | 6009 Garrett Rd, Durham, NC 27707-5349 | 2020-06-05 |
1154959658 | Allyson Kaye-winston Scott | Nurse Practitioner | 108 Oakmont Ave, Durham, NC 27713-1558 | 2020-03-30 |
1245866235 | Rosalyn Carson | Nurse Practitioner | 3710 Shannon Rd # 52570, Durham, NC 27707-6327 | 2020-03-21 |
1730726498 | Georgia Darby Smith | Nurse Practitioner | 20 Duke Medicine Circle Clinic 2-2 Gyn-oncology, Durham, NC 27710-0001 | 2019-12-02 |
1639728801 | Tyra Tameka Gray | Nurse Practitioner | 225 Lodestone Dr, Durham, NC 27703-6634 | 2019-09-10 |
1134781453 | Godwin C Nweke | Nurse Practitioner | 3632 Ranbir Dr, Durham, NC 27713-1793 | 2019-07-08 |
1114586948 | Hadja Thiam | Nurse Practitioner | 40 Medicine Circle Clinic 2b, Durham, NC 27710-0001 | 2019-06-05 |
1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
1013434257 | Stephanie Howard Spaulding | Nurse Practitioner | 40 Duke Medical Cir # 1j, Durham, NC 27710-3006 | 2017-08-28 |
Find all providers in DURHAM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.