Provider Demographics
NPI:1730902800
Name:DRASCIC, EMILY MARIE (NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:DRASCIC
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7010 E CHAUNCEY LN STE 145
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-3114
Mailing Address - Country:US
Mailing Address - Phone:480-502-5533
Mailing Address - Fax:480-502-5761
Practice Address - Street 1:7010 E CHAUNCEY LN STE 145
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-3114
Practice Address - Country:US
Practice Address - Phone:480-502-5533
Practice Address - Fax:480-502-5761
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRNP252088207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine