Drake, Alexandra K

Drake, Alexandra K is an individual health care provider with primary practice located at 1625 David Raines Rd , Shreveport LA 71107-5899. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Drake, Alexandra K can be contacted via phone (318) 549-2500.

Contact Information

Primary practice address
1625 David Raines Rd Shreveport LA 71107-5899
Phone: (318) 549-2500
Fax: (318) 227-3359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP06323 Louisiana

Profile Details

NPI number 1245531987
LBN Legal business name Drake, Alexandra K
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2010
Last updated Sep 8th, 2011 - about 14 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 1245531987 NPPES
Louisiana Other 131206 RN STATE LICENSE
Louisiana MEDICAID 2135970 RN STATE LICENSE
Louisiana Other AP06323 RN STATE LICENSE

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