Provider Demographics
NPI:1902094980
Name:DRAUT, GAIL LYNN (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LYNN
Last Name:DRAUT
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:L
Other - Last Name:DRAUT-HOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:3333 BURNET AVENUE
Mailing Address - Street 2:MLC 2026
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-9400
Mailing Address - Fax:513-636-0166
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:MLC 2026
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-9400
Practice Address - Fax:513-636-0166
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-00253363LF0000X
OHAPRN.CNP.00253363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2378583Medicaid
OHH182710Medicare PIN