Provider Demographics
NPI:1598732612
Name:DRAPOLA, DEBRA J (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:DEBRA
Middle Name:J
Last Name:DRAPOLA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24165 DETROIT RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1516
Mailing Address - Country:US
Mailing Address - Phone:440-617-7646
Mailing Address - Fax:440-617-1815
Practice Address - Street 1:24165 DETROIT RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1516
Practice Address - Country:US
Practice Address - Phone:440-617-7646
Practice Address - Fax:440-617-1815
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP004846B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA008509T1NMedicare PIN