Healthcare Provider Details

I. General information

NPI: 1992093728
Provider Name (Legal Business Name): MICHELLE LYNN DRAIN C.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1039 HASKINS RD SUITE A
BOWLING GREEN OH
43402-9065
US

IV. Provider business mailing address

1107 S MAIN ST SUITE 300
BOWLING GREEN OH
43402-4701
US

V. Phone/Fax

Practice location:
  • Phone: 419-352-1121
  • Fax: 419-352-1179
Mailing address:
  • Phone: 419-806-4222
  • Fax: 419-806-4359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.12407
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.12407-NP
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.12407
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: