Healthcare Provider Details

I. General information

NPI: 1306274238
Provider Name (Legal Business Name): HOLLY ANNE DRAKE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLY ANNE MARCHWINKSI CNM

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 CARTHAGE ST
SANFORD NC
27330-4162
US

IV. Provider business mailing address

112 TURNING LEAF WAY
SANFORD NC
27332-5405
US

V. Phone/Fax

Practice location:
  • Phone: 919-774-2100
  • Fax:
Mailing address:
  • Phone: 810-217-7273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number34
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: