Healthcare Provider Details

I. General information

NPI: 1548051089
Provider Name (Legal Business Name): CHRISTINE DRAPEAU FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7203 4TH ST NW
LOS RANCHOS NM
87107-6623
US

IV. Provider business mailing address

1709 35TH ST SE
RIO RANCHO NM
87124-1788
US

V. Phone/Fax

Practice location:
  • Phone: 505-433-3994
  • Fax:
Mailing address:
  • Phone: 505-235-0466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number84031
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: