Drake, Wilhelminia Kayla Devon

Drake, Wilhelminia Kayla Devon is an individual health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1347. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Drake, Wilhelminia Kayla Devon can be contacted via phone (516) 562-6000.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1347
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X F432316-01 New York

Profile Details

NPI number 1639816044
LBN Legal business name Drake, Wilhelminia Kayla Devon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2022
Last updated May 17th, 2022 - about 2 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 1639816044 NPPES
New York MEDICAID UNKNOWN

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