Provider Demographics
NPI:1821756941
Name:DRAKE, ARNEVA I
Entity Type:Individual
Prefix:
First Name:ARNEVA
Middle Name:I
Last Name:DRAKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 RACINE ST APT 123
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6621
Mailing Address - Country:US
Mailing Address - Phone:360-224-8735
Mailing Address - Fax:
Practice Address - Street 1:3353 RACINE ST APT 123
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6621
Practice Address - Country:US
Practice Address - Phone:360-224-8735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00082721163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse