DIANA DRAKE

MINNEAPOLIS, MN
NPI1124390729
Former NameDIANA GORDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  R100675-7)
Enumeration Date2012-01-30
Last Update Date2014-06-05
Business Address
-- DIANA DRAKE NP
606 24TH AVE S SUITE 300
MINNEAPOLIS, MN 55454-1455
Phone number: 612-273-7111
Mailing Address
-- DIANA DRAKE NP
420 DELAWARE ST SE MMC 395
MINNEAPOLIS, MN 55455-0341
Phone number: 612-626-3111
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