National Provider Identifier

Miranda Drake

Miranda Drake is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Dansville, NY and a listed phone number of (585) 335-5052.

NPI 1093481277Dansville, NYLicensed Practical Nurse

Profile Overview

NPI
1093481277
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 18, 2021
Last Updated
August 18, 2021

Practice Location

  • 45 Maple St
  • Dansville, NY 14437-9182

Phone: (585) 335-5052

Mailing Address

  • 4373 State Route 19 S
  • Belmont, NY 14813-9513

Specialties

  • Licensed Practical Nurse (164W00000X)

Endpoints

  • mdrake@casa-trinity.org

    Direct Messaging Address | Dansville, NY 14437

    Company Email Address

Full Record
NPI
1093481277
Entity Type
Individual
Last Name
Drake
First Name
Miranda
Mailing Street Address
4373 State Route 19 S
Mailing City
Belmont
Mailing State
NY
Mailing ZIP Code
14813-9513
Mailing Country
US
Mailing Phone
(585) 610-8560
Practice Street Address
45 Maple St
Practice City
Dansville
Practice State
NY
Practice ZIP Code
14437-9182
Practice Country
US
Practice Phone
(585) 335-5052
Enumeration Date
August 18, 2021
Last Updated
August 18, 2021
Sex
Female
Sole Proprietor
No
Certification Date
August 18, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
16-1039939 (NY), 16-1039939 (NY, All Other Insurances)