1437128980 NPI number — NANCY E DREWER CRNP-F

Table of content: NANCY E DREWER CRNP-F (NPI 1437128980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437128980 NPI number — NANCY E DREWER CRNP-F

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DREWER
Provider First Name:
NANCY
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP-F
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437128980
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1978
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21802-1978
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-749-1015
Provider Business Mailing Address Fax Number:
410-749-0654

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12145 ELM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRINCESS ANNE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21853-1358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-651-5135
Provider Business Practice Location Address Fax Number:
410-651-4682
Provider Enumeration Date:
03/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  R034944 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: KQ630034 . This is a "CAREFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 119591300 . This is a "MD PHYSICIANS CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 521860379 . This is a "GREAT WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 860784 . This is a "NATIONAL CAPITAL PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 119591300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: E1540014 . This is a "CAREFIRST BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 521860379 . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 521860379 . This is a "INFORMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 054635 . This is a "JHHC" identifier . This identifiers is of the category "OTHER".




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