Provider Demographics
NPI:1033579693
Name:DRAPER, AMANDA LOUISE (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LOUISE
Last Name:DRAPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3058 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14125-1038
Mailing Address - Country:US
Mailing Address - Phone:716-425-7714
Mailing Address - Fax:
Practice Address - Street 1:3058 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:OAKFIELD
Practice Address - State:NY
Practice Address - Zip Code:14125-1038
Practice Address - Country:US
Practice Address - Phone:716-425-7714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY672350163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency