MEDICARE: SEAN CHRISTOPHER DREWES C.N.A .

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	376K00000X	Nurse's Aide	358369	FL

General Provider Information

NPI Number	:	1639672660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN CHRISTOPHER DREWES C.N.A .

Provider Business Mailing Address
First Line	:	54 BANNBURY LN
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-8848
Country	:	US
Telephone Number	:	386-693-6982
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 BANNBURY LN
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-8848
Country	:	US
Telephone Number	:	386-693-6982
Fax Number	:

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

Provider Enumeration Date	:	03/15/2018
Last Update Date	:	03/15/2018

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Directions to “ SEAN CHRISTOPHER DREWES C.N.A .” Practice Location

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