Drake, Diane Zadra

Drake, Diane Zadra is an individual health care provider with primary practice located at 2537 Eisenhower Rd , Ottawa KS 66067-9482. 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, Diane Zadra can be contacted via phone (785) 242-3780.

Contact Information

Primary practice address
2537 Eisenhower Rd Ottawa KS 66067-9482
Phone: (785) 242-3780
Fax: (785) 242-6397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X APRN 53-74199-102 Kansas

Profile Details

NPI number 1780786533
LBN Legal business name Drake, Diane Zadra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 12th, 2012 - about 13 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 1780786533 NPPES
Kansas MEDICAID 100337790A

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