Provider Demographics
NPI:1801818299
Name:DRAKE, STEVEN (CRNA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:DRAKE
Suffix:
Gender:M
Credentials:CRNA
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 633
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850-0633
Mailing Address - Country:US
Mailing Address - Phone:402-395-1666
Mailing Address - Fax:402-395-1666
Practice Address - Street 1:1600 W 13TH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1196
Practice Address - Country:US
Practice Address - Phone:308-324-5651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10002852367500000X
NE100311367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE38001OtherBLUE CROSS BLUE SHIELD
NE272127Medicare PIN
NE38001OtherBLUE CROSS BLUE SHIELD