Healthcare Provider Details

I. General information

NPI: 1487425849
Provider Name (Legal Business Name): LENKA DRAGER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2024
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 SE ELY ST
OAK HARBOR WA
98277-3748
US

IV. Provider business mailing address

165 SE ELY ST
OAK HARBOR WA
98277-3748
US

V. Phone/Fax

Practice location:
  • Phone: 360-682-5444
  • Fax: 617-693-6777
Mailing address:
  • Phone: 360-682-5444
  • Fax: 617-693-6777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number70015357
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: