Provider Demographics
NPI:1134591050
Name:DRAKE, FRANCES ELLEN (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:ELLEN
Last Name:DRAKE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 E LOWELL ST BLDG 95
Mailing Address - Street 2:CAMPUS HEALTH SERVICE
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0400
Mailing Address - Country:US
Mailing Address - Phone:520-626-5735
Mailing Address - Fax:
Practice Address - Street 1:1224 E LOWELL ST BLDG 95
Practice Address - Street 2:CAMPUS HEALTH SERVICE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0400
Practice Address - Country:US
Practice Address - Phone:520-626-5735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 151163163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse