Healthcare Provider Details

I. General information

NPI: 1538478615
Provider Name (Legal Business Name): BARBARA LYNN DREW RN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2010
Last Update Date: 10/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N WATER ST
KENT OH
44240-2418
US

IV. Provider business mailing address

113 HENDERSON HL PO BOX 5190
KENT OH
44242-0001
US

V. Phone/Fax

Practice location:
  • Phone: 330-678-3006
  • Fax:
Mailing address:
  • Phone: 330-672-8821
  • Fax: 330-672-2433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCOA02804NS
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: