Provider Demographics
NPI:1881686665
Name:DRAYTON-BROOKS, SHIRLEE MARIE (CRNP)
Entity Type:Individual
Prefix:
First Name:SHIRLEE
Middle Name:MARIE
Last Name:DRAYTON-BROOKS
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 1:106 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-3319
Mailing Address - Country:US
Mailing Address - Phone:856-467-8593
Mailing Address - Fax:
Practice Address - Street 1:6120-B WOODLAND AVENUE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-3224
Practice Address - Country:US
Practice Address - Phone:215-727-4721
Practice Address - Fax:215-726-4507
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004741B363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health