Drahuschak, Nicole Faye

Drahuschak, Nicole Faye is an sole proprietor health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Drahuschak, Nicole Faye can be contacted via phone (541) 222-6200.

Contact Information

Primary practice address
3377 Riverbend Dr Springfield OR 97477
Phone: (541) 222-6200
Fax: (541) 222-6182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201901042NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R895787 Mississippi

Profile Details

NPI number 1144518788
LBN Legal business name Drahuschak, Nicole Faye
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2011
Last updated Aug 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144518788 NPPES
Mississippi Other P01403841 RAILROAD MEDICARE
Mississippi MEDICAID 04288876 RAILROAD MEDICARE

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