Nancy Sue Drake, RN
Individual provider Active NPI Home Health Registered Nurse · Eldorado, IL
NPI 1972877066 · NPPES record last updated Mar 7, 2012
Key facts
- NPI
- 1972877066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 041.253975 (IL)
- Practice address
- 1412 US Highway 45 N
Eldorado, IL 62930-3766 - Phone
- (618) 273-3326
- Fax
- (618) 273-2808
- NPI assigned
- Mar 7, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.253975 | IL | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 041.253975 | IL | Yes |
Addresses
Primary practice location
1412 US Highway 45 N
Eldorado, IL 62930-3766
Mailing address
1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone (618) 273-3326
Other providers in Eldorado, IL
- Sarah Dickinson
- Sharon Kay Dobrey
- Jacquelyn Dortch
- Kimberly Douglas
- Linda Douglas
- Brenda Drone
- Michelle Dawn Drone
- DRS
- Lisa Duncan
- Brandon Cole Edwards
All providers in Eldorado, IL · Home Health Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.