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NPI Code Detail

MEDICARE: SHIRLEE MARIE DRAYTON-BROOKS C.R.N.P.

MEDICARE:   SHIRLEE MARIE DRAYTON-BROOKS  C.R.N.P.
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
1363LC1500XCommunity Health Nurse PractitionerTP004741BPA

General Provider Information

NPI Number : 1881686665
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEE MARIE DRAYTON-BROOKS C.R.N.P.
Provider Business Mailing Address
First Line : 106 COVENTRY LN
Second Line :
City : SWEDESBORO
State : NJ
Zip : 08085-3319
Country : US
Telephone Number : 856-467-8593
Fax Number :
Provider Business Practice Location Address
First Line : 6120-B WOODLAND AVENUE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19142-3224
Country : US
Telephone Number : 215-727-4721
Fax Number : 215-726-4507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 04/28/2010

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Directions to “ SHIRLEE MARIE DRAYTON-BROOKS C.R.N.P.” Practice Location

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