Drake, Marissa
Drake, Marissa is an individual health care provider with primary practice located at 2004 Ford Pkwy , Saint Paul MN 55116-1931. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Drake, Marissa can be contacted via phone (612) 256-8225.Contact Information
Primary practice address
2004 Ford Pkwy
Saint Paul MN 55116-1931
Phone: (612) 256-8225
Fax: (612) 457-0216
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Medical-Surgical | 163WM0705X | R 185046-6 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R 185046-6 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2407 | Minnesota |
Profile Details
NPI number | 1124438734 |
---|---|
LBN Legal business name | Drake, Marissa |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2014 |
Last updated | Sep 14th, 2023 - about last year |
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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