Drake, Elizabeth Cook

Drake, Elizabeth Cook is an individual health care provider with primary practice located at 140 Professional Park Dr , Conway SC 29526-9260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Drake, Elizabeth Cook can be contacted via phone (843) 234-5678.

Contact Information

Primary practice address
140 Professional Park Dr Conway SC 29526-9260
Phone: (843) 234-5678
Fax: (843) 234-4567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN 2596 South Carolina

Profile Details

NPI number 1699863688
LBN Legal business name Drake, Elizabeth Cook
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699863688 NPPES
South Carolina MEDICAID NP0897

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