Provider Demographics
NPI:1568353522
Name:DRAKEFORD, PAMELA DENISE
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:DENISE
Last Name:DRAKEFORD
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 1:5661 ROCKY MOOR PL
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2587
Mailing Address - Country:US
Mailing Address - Phone:614-432-0390
Mailing Address - Fax:
Practice Address - Street 1:5661 ROCKY MOOR PL
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2587
Practice Address - Country:US
Practice Address - Phone:614-432-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide