Provider Demographics
NPI:1730895004
Name:DRAKE, MONICA ROSE (CPM)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ROSE
Last Name:DRAKE
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16270 S PARKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3051
Mailing Address - Country:US
Mailing Address - Phone:913-710-4918
Mailing Address - Fax:
Practice Address - Street 1:4831 ANTIOCH RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66203-1310
Practice Address - Country:US
Practice Address - Phone:913-735-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife