=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679437032
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AUBRY ROSE DRAPER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2025
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2880 MISSION DR
-----------------------------------------------------
City | SHELBYVILLE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49344-9580
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-397-1760
-----------------------------------------------------
Fax | 269-397-1764
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 134
-----------------------------------------------------
City | MARTIN
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49070-0134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-690-4949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------