Provider Demographics
NPI:1437128980
Name:DREWER, NANCY E (CRNP-F)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:DREWER
Suffix:
Gender:F
Credentials:CRNP-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1978
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-1978
Mailing Address - Country:US
Mailing Address - Phone:410-749-1015
Mailing Address - Fax:410-749-0654
Practice Address - Street 1:12145 ELM ST
Practice Address - Street 2:
Practice Address - City:PRINCESS ANNE
Practice Address - State:MD
Practice Address - Zip Code:21853-1358
Practice Address - Country:US
Practice Address - Phone:410-651-5135
Practice Address - Fax:410-651-4682
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR034944363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KQ630034OtherCAREFIRST
119591300OtherMD PHYSICIANS CARE
521860379OtherGREAT WEST
860784OtherNATIONAL CAPITAL PPO
MD119591300Medicaid
E1540014OtherCAREFIRST BLUE CHOICE
521860379OtherCOVENTRY
521860379OtherINFORMED
054635OtherJHHC
$$$$$$$$$OtherTRICARE STANDARD
E1540014OtherCAREFIRST BLUE CHOICE
521860379OtherCOVENTRY