Healthcare Provider Details

I. General information

NPI: 1730902800
Provider Name (Legal Business Name): EMILY MARIE DRASCIC NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 E CHAUNCEY LN STE 145
PHOENIX AZ
85054-3114
US

IV. Provider business mailing address

9787 N 91ST ST STE 101
SCOTTSDALE AZ
85258-5088
US

V. Phone/Fax

Practice location:
  • Phone: 480-502-5533
  • Fax: 480-502-5761
Mailing address:
  • Phone: 480-245-6211
  • Fax: 480-525-9637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number252088
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: