Provider Demographics
NPI:1821983842
Name:DRAKE, VANESSA RUTH (MSN RN CWOCN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:RUTH
Last Name:DRAKE
Suffix:
Gender:F
Credentials:MSN RN CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 STUARTS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9692
Mailing Address - Country:US
Mailing Address - Phone:919-247-6037
Mailing Address - Fax:
Practice Address - Street 1:5601 STUARTS RIDGE RD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9692
Practice Address - Country:US
Practice Address - Phone:919-247-6037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY609150163W00000X
NC210323163WX1500X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care