Provider Demographics
NPI:1922824002
Name:DRAULIS, SHELBY (ARNP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:DRAULIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3308
Mailing Address - Country:US
Mailing Address - Phone:407-821-3566
Mailing Address - Fax:
Practice Address - Street 1:2100 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3308
Practice Address - Country:US
Practice Address - Phone:407-646-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-23
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036572363LP2300X
FL11036572207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology