Provider Demographics
NPI:1245598010
Name:DRAKE, DENISE MARIE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:DRAKE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:DRAKE
Other - Last Name:LAWLESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:7101 E INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3807
Mailing Address - Country:US
Mailing Address - Phone:480-946-1637
Mailing Address - Fax:480-941-9361
Practice Address - Street 1:7101 E INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:480-946-1637
Practice Address - Fax:480-941-9361
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2019-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4464363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health