Provider Demographics
NPI:1841356755
Name:DRAYSON-STEINBACH, JEANA L (FNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:JEANA
Middle Name:L
Last Name:DRAYSON-STEINBACH
Suffix:
Gender:F
Credentials:FNP-BC, APRN
Other - Prefix:
Other - First Name:JEANA
Other - Middle Name:L
Other - Last Name:DRAYSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-BC, APRN
Mailing Address - Street 1:6293 RED HILL RD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-9406
Mailing Address - Country:US
Mailing Address - Phone:209-529-9600
Mailing Address - Fax:303-284-4082
Practice Address - Street 1:6041 S SYRACUSE WAY STE 220
Practice Address - Street 2:AGAPE HEALTHCARE
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4716
Practice Address - Country:US
Practice Address - Phone:720-482-1988
Practice Address - Fax:720-482-1990
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5578363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA16299OtherNURSE PRACTIONER LICENSE
CA68191OtherPUBLIC HEALTH NURSE LICEN
CONP-5578OtherNURSE PRACTITIONER
CORN-184900OtherREGISTERED NURSE
CA642044OtherREGISTERED NURSE LICENSE
CA642044OtherREGISTERED NURSE LICENSE