Basic Information
| Provider Information | |||||||||
| NPI: | 1881686665 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRAYTON-BROOKS | ||||||||
| FirstName: | SHIRLEE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | C.R.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 106 COVENTRY LN | ||||||||
| Address2: | |||||||||
| City: | SWEDESBORO | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080853319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564678593 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6120-B WOODLAND AVENUE | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191423224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157274721 | ||||||||
| FaxNumber: | 2157264507 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2005 | ||||||||
| LastUpdateDate: | 04/28/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LC1500X | TP004741B | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Community Health |
No ID Information.