Provider Demographics
NPI:1265500847
Name:DRAKE, AMEURFINNA DIMEN (NP APRN)
Entity Type:Individual
Prefix:MRS
First Name:AMEURFINNA
Middle Name:DIMEN
Last Name:DRAKE
Suffix:
Gender:F
Credentials:NP APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USMARFORK UNIT 15708
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205
Mailing Address - Country:KR
Mailing Address - Phone:011822-793-9421
Mailing Address - Fax:
Practice Address - Street 1:121ST GENERAL HOSPITAL 18TH MEDICAL COMMAND
Practice Address - Street 2:UNIT 15281
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205
Practice Address - Country:KR
Practice Address - Phone:011822-793-9421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily