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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ANDREA L DRAKE, PA-C
604 CONTINENTIAL BLVD.
STE 100
DANVILLE, PA17821-4070
 Phone: 570-284-4575
 Fax: 570-284-4577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANDREA L DRAKE · (Female)

NPI Number 1023084019
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/28/2006
Last updated 12/09/2015 - About 10 months ago
Sole proprietor 1 No
Identifiers
DE License # C5-0000860
PA License # MA051040
DE Medicaid 1023084019
DE Medicare PIN 275095ZATA
Medicare UPIN P89432
PA Medicare UPIN P89432
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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