Provider Demographics
NPI:1033673918
Name:DRAKEFORD, SHONTE RENEE (APRN NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHONTE
Middle Name:RENEE
Last Name:DRAKEFORD
Suffix:
Gender:F
Credentials:APRN NP-C
Other - Prefix:
Other - First Name:SHONTE
Other - Middle Name:RENEE
Other - Last Name:CALHOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6610 WOODYARD ROAD
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772
Mailing Address - Country:US
Mailing Address - Phone:240-899-1950
Mailing Address - Fax:
Practice Address - Street 1:6610 WOODYARD ROAD
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772
Practice Address - Country:US
Practice Address - Phone:240-899-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR184455363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner