Provider Demographics
NPI:1497788285
Name:DRAUTZ, JOANNE MILISA (MS)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MILISA
Last Name:DRAUTZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:JOANNE
Other - Middle Name:M
Other - Last Name:MILISA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:933 BRADBURY DR SE
Mailing Address - Street 2:STE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4374
Mailing Address - Country:US
Mailing Address - Phone:505-272-3120
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:UNM DEPT PEDIATRICS GENETICS
Practice Address - Street 2:MSC10 5590 1 UNM
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-0340
Practice Address - Fax:505-272-6823
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS