Provider Demographics
NPI:1619775202
Name:ROBERT-DRAAYER, SHARON VASUGI SELVARAJ
Entity type:Individual
Prefix:
First Name:SHARON VASUGI
Middle Name:SELVARAJ
Last Name:ROBERT-DRAAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 GOLD COAST RD APT 8
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046
Mailing Address - Country:US
Mailing Address - Phone:507-369-8168
Mailing Address - Fax:
Practice Address - Street 1:1201 GOLD COAST RD APT 8
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2858
Practice Address - Country:US
Practice Address - Phone:507-363-1870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant