MEDICARE: BELINDA T DRAKE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	13051	CA
2	363LF0000X	Family Nurse Practitioner	AP1374	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP1374	OTHER	AZ	ARIZONA STATE BOARD OF NURSING
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518950195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA T DRAKE NP

Provider Business Mailing Address
First Line	:	PO BOX 10880
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86304-0880
Country	:	US
Telephone Number	:	602-406-4786
Fax Number	:	916-636-4358

Provider Business Practice Location Address
First Line	:	474 N HIGHWAY 89
Second Line	:
City	:	CHINO VALLEY
State	:	AZ
Zip	:	86323-5993
Country	:	US
Telephone Number	:	928-636-5680
Fax Number	:	928-636-5853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	02/10/2025

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Directions to “ BELINDA T DRAKE NP” Practice Location

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